Nicole Wildeman
Professional Counselor · Fenton, MI
Nicole Wildeman is a professional counselor with a practice address in Fenton, Michigan, and NPI 1417605833, issued on Mar 15, 2022. Check the license (Michigan 6401222623, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole Wildeman
- Primary taxonomy
- Professional Counselor 101YP2500X
- License numbers
- 6401222623 MI
TPMC5026 FL
Self-reported in NPPES; status is on the state search - Practice location
- 14229 Torrey RD # 3, Fenton, MI 48430
- Phone
- (810) 214-2624
- Enumerated
- Mar 15, 2022
- Record last updated
- Apr 9, 2026
- Medicare enrollment
- Enrolled (PECOS I20240814004354); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 4,958 in Michigan → Look up another NPI →
Verify Nicole Wildeman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 6401222623Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Brightside Medical OF Michigan PCAnn Arbor, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole Wildeman among 4,958 professional counselor records in Michigan
Nicole Wildeman is one of 4,958 professional counselor records with a practice address in Michigan. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 84% of them.
- NPI issued2022 · 84% of these records are older, 12% newer
- In a Medicare fileYes · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated2014 · median 2013 among the 1,050 with a school on file
- Record last updated2026 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
24 professional counselor records list a practice address in Fenton
They are 24 of the 456 NPPES records with a practice address in Fenton, and 4,958 professional counselor records in Michigan.
All 4,958 in Michigan → Every provider in Fenton → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Kimberly Cardeccia, MA, LPCFenton, MI 484301376057729
- Mark Carpenter, LPCFenton, MI 484301720450596
- Deborah Carter, LPCFenton, MI 484301427487768
- Kimberly Gruber, MA, LPC, NCCFenton, MI 484301669946430
- Gloria Himes, LPCFenton, MI 484301548305048
- Paul JannakosFenton, MI 484301023385481
- Lisa Klammer, MA, LLPC, NCCFenton, MI 484301891218061
- Tamara KulcharFenton, MI 484301588953442
Common questions
What is Nicole Wildeman's NPI number?
Nicole Wildeman's National Provider Identifier (NPI) is 1417605833, issued on Mar 15, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Wildeman located?
The NPPES record lists a practice address at 14229 Torrey RD # 3, Fenton, MI, 48430. Phone: (810) 214-2624. Providers update this record themselves, so call before visiting.
How can I verify Nicole Wildeman's license?
NPPES lists Michigan license number 6401222623, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.