Nicole Wildeman
Nicole Wildeman is a Mental Health Counselor in Fenton, Michigan. Qualified in 2014, 12 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Michigan.
- Years since qualifying
- 12
- Licensed in
- FL, MI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
14229 Torrey Rd # 3Fenton, MI 48430-3308
Phone: (810) 214-2624
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 6401222623 (MI) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence TPMC5026 (FL) |
Record details
| NPI number | 1417605833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 15, 2022 |
| Last updated in NPPES | April 9, 2026 |
| Certification date | April 9, 2026 |
| Mailing address | 2421 Golden Shore Dr, Fenton, MI 48430-1058 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Brightside Medical Of Michigan Pc — 93 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Fenton
-
Cheryl L Reger
15173 N Rd Ste 100, Fenton, MI 48430-1381 · (810) 208-0879
-
Caroline Roark
15173 N Rd Ste 100, Fenton, MI 48430-1381 · (810) 771-4074
-
Shelby Lynn Beckman Smith, LPC, NCC
1114 N Leroy St Unit 3060, Fenton, MI 48430-2758 · (810) 215-0122
-
Denise M Urban, LPC
1100 Torrey Rd Ste 100, Fenton, MI 48430-3327 · (810) 424-2400
-
Jodi Rene Wilson-Guzak, LPC
1100 Torrey Rd Ste 100, Fenton, MI 48430-3327 · (810) 944-7180