Nicole R. Wildroudt, LPCC
NPI 1235526096ActiveIndividual· Counselor, Professional· Kokomo, IN
Counselor, Professional (LPCC) with El Rio Santa Cruz Neighborhood Health Center, Inc., practicing in Kokomo, Indiana. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1235526096 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | Apr 20, 2015 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-24135 | AZ |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 86000458A | IN |
| Counselor, Professional | 101YP2500X | E.2606445 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162012 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- El Rio Santa Cruz Neighborhood Health Center, Inc.Tucson, AZ · 275 clinicians
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