Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Wild

Individual provider Counselor · NPI 1164098760

Andrew Wild is a Mental Health Counselor in Athens, Ohio. Qualified in 2022, 4 years ago. Practices with Integrated Services for Behavioral Health, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11 Graham Dr
Athens, OH 45701-1430
Phone: (800) 321-8293
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2404527 (OH)
Counselor Taxonomy 101Y00000X · Licence C.2103185-TRNE (OH)

Record details

NPI number1164098760
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing addressPo Box 132, Athens, OH 45701-0132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Integrated Services For Behavioral Health — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Athens