Nicole R Wildroudt, LPCC
Nicole R Wildroudt, LPCC is a Mental Health Counselor in Kokomo, Indiana. Qualified in 2019, 7 years ago. Practices with El Rio Santa Cruz Neighborhood Health Center, Inc, a 283-clinician group and accepts Medicare assignment. Licensed in Arizona, Indiana and Ohio.
- Years since qualifying
- 7
- Licensed in
- AZ, IN, OH
- In the registry since
- 2015
- Specialties on file
- 4
What do these letters mean?
- LPCC — Licensed Professional Clinical Counselor
- The title some states use for a licensed clinical counsellor.
Practice location Address checks out
4104 Springmill DrKokomo, IN 46902-5168
Phone: (937) 554-3667
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LPC-24135 (AZ) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 86000458A (IN) |
| Professional Counselor | Taxonomy 101YP2500X · Licence E.2606445 (OH) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence LICDC.162012 (OH) |
Record details
| NPI number | 1235526096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPCC |
| Sole proprietor | No |
| NPI enumerated | April 20, 2015 |
| Last updated in NPPES | July 29, 2026 |
| Certification date | July 29, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | El Rio Santa Cruz Neighborhood Health Center, Inc. — 283 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kokomo
-
Courtney Seeler, BS, CADACII
3423 S Lafountain St Ste C, Kokomo, IN 46902-3857 · (765) 286-5773
-
Mr. David Frank Stouse, MA, LCSW, MAC
1907 W Sycamore St, Kokomo, IN 46904-9010 · (765) 456-5900
-
Mrs. Rita Marie Tattersall, LCAC
1531 Rockford Ct, Kokomo, IN 46902-3207 · (765) 453-4500
-
Teri Vermilion, LCAC-A
1234 N Courtland Ave, Kokomo, IN 46901-2754 · (765) 860-7482