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

Mrs. Julie Anne De Wilde, MA, LPCC

Individual provider Professional Counselor · NPI 1083168314

Mrs. Julie Anne De Wilde, MA, LPCC is a Mental Health Counselor in New Brighton, Minnesota. Qualified in 1999, 27 years ago. Practices with Rush Inc, a 19-clinician group and offers telehealth. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone: (651) 628-9566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC01711 (MN)

Record details

NPI number1083168314
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESJanuary 19, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Rush Inc — 19 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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