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Active NPI 1083168314 Individual Practitioner Female Practitioner

Julie Anne De Wilde , MA, LPCC

Counselor - Professional • New Brighton, MN

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Julie De Wilde, MA, LPCC is a certified Counselor - Professional practicing in New Brighton, MN. With approximately 27 years of clinical experience since completing medical education in 1999, Julie De Wilde delivers high-quality medical care to the local community at 1900 SILVER LAKE RD NW.

Julie De Wilde is affiliated with Rush Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1900 Silver Lake Rd Nw

New Brighton, MN 551121786

Telephone 6516289566
Associated Practice Facility / Clinic
🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in New Brighton, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +12.1 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
44 Specialists

Practicing in New Brighton, MN (2422 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De Wilde (27 Years) 27 Yrs
New Brighton Specialty Average (14.9 Years) 14.9 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC01711

Definition to come...

Hospital & Practice Group Affiliations

Rush Inc

1751 Tower Dr W, Stillwater, MN 550827596

Phone: 6514392059

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bethany Gavic , MSW, LICSW

Social Worker - Clinical

NPI 1003153792

Master of Social Work, Licensed Independent Clinical Social Worker

Sarah Hoover

Marriage & Family Therapist

NPI 1003190463
Jennifer Perri

Marriage & Family Therapist

NPI 1013275650
Deborah Malchow , MSW, LICSW

Social Worker - Clinical

NPI 1013674167

Master of Social Work, Licensed Independent Clinical Social Worker

Jack Hinrichs , MA, LMFT

Marriage & Family Therapist

NPI 1023035599

Master of Arts, Licensed Marriage and Family Therapist

David Hawkinson

Counselor - Mental Health

NPI 1023566619

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2018

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍
Updated Business Mailing Address January 19, 2018

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as JULIE DE WILDE, M.A., LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Counselor (License #CC01711 in MN)

NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2016

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍
Updated Business Mailing Address August 03, 2016

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

👤
Provider Name / Credentials Updated August 03, 2016

Recorded as JULIE DE WILDE, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Counselor

🟢
Initial NPI Registration & Enumeration August 03, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083168314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2016
Last Update: January 19, 2018
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw

New Brighton, MN 551121786

Phone: 6516289566

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.