MS. NICOLE FREDA WYNDER (NCC,LPC, LMFT, LCMHC) – Addiction (Substance Use Disorder) Counselor, NPI 1245567866
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,998 MENTAL HEALTH COUNSELOR in VA
Provider Addresses for MS. NICOLE FREDA WYNDER (NCC,LPC, LMFT, LCMHC)
5219 Lankford Hwy
New Church, VA 234153332
Phone: (757) 414-0400
Fax: (757) 414-0569
Type: Location
20280 MARKET ST
ONANCOCK, VA 234171331
Phone: (757) 414-0400
Fax: (757) 414-0569
Type: Mailing
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Phone: (757) 331-1086
Type: Location
4049 Main St
Chincoteague, VA 233362406
Phone: (757) 414-0400
Fax: (757) 414-0589
Type: Location
20306 Badger Ln
Onancock, VA 234171224
Phone: (757) 414-0400
Fax: (757) 414-0569
Type: Location
Building 1, 281, Independence Boulevard, Pembroke Manor, Virginia Beach, Virginia, 23462, United States
SUITE 326
VIRGINIA BEACH, VA 234622986
Phone: (757) 490-0377
Type: Mailing
38, Market Street, Onancock, Accomack County, Virginia, 23417, United States
ONANCOCK, VA 234171910
Phone: (757) 787-8448
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240311003785 | I | Marriage And Family Therapist | VA | TBD |
| I20240611002070 | I | Mental Health Counselor | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | MD | |
| Physician Assistant | VA | |
| Pediatric Medicine | VA | |
| Physician Assistant | NC |
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