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Active NPI 1164098760 Individual Practitioner Male Practitioner

Andrew Wild

Counselor - Professional • Athens, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Andrew Wild is a certified Counselor - Professional practicing in Athens, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Andrew Wild delivers high-quality medical care to the local community at 11 GRAHAM DR.

Andrew Wild is affiliated with Integrated Services For Behavioral Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

11 Graham Dr

Athens, OH 457011430

Telephone 8003218293
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Athens, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -10.5 yrs vs City Avg
City Avg: 14.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
104 Specialists

Practicing in Athens, OH (6923 Statewide)

Telehealth Adoption Rate
2.9% 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. Wild (4 Years) 4 Yrs
Athens Specialty Average (14.5 Years) 14.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2404527

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.2103185-TRNE

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Hospital & Practice Group Affiliations

Integrated Services For Behavioral Health

11 Graham Dr, Athens, OH 457011430

Phone: 7405946807

Practice Associates & Co-Workers

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

40 Associated Practitioners
Leah Mcwhorter

Social Worker - Clinical

NPI 1003300534
NPI 1003353988

LISWS, LICDC

Sharett Swails

Community Health Worker

NPI 1003508144
Marianne Dunn

Registered Nurse

NPI 1003539735
Kimberly Bryant

Community Health Worker

NPI 1003563172
Allyson Carter

Community Health Worker

NPI 1003573288

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2021

Registered at 11 GRAHAM DR, ATHENS, OH 457011430 (Tel: 8003218293)

📍
Updated Business Mailing Address June 03, 2021

Registered at PO BOX 132, ATHENS, OH 457010132 (Tel: 7406449872)

👤
Provider Name / Credentials Updated June 03, 2021

Recorded as ANDREW WILD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Counselor (License #C.2103185-TRNE in OH)

🟢
Initial NPI Registration & Enumeration June 03, 2021

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: 1164098760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: April 09, 2025
Sole Proprietor: No

Mailing Address

Po Box 132

Athens, OH 457010132

Phone: 7406449872

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.