Wildroot Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILDROOT COUNSELING

Practice address

2485 Grant Ave Ste 212
Ogden, UT 84401-2308

Phone

(801) 436-7608

NPI assigned

Aug 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kassondra M McAdams, LCSW

Title

Owner/LCSW

Phone

(801) 999-0297

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1003647348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 GRANT AVE STE 212",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012308",
            "telephone_number": "801-436-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 GRANT AVE STE 212",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012308",
            "telephone_number": "801-436-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROOT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "KASSONDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "801-999-0297",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Jo Wilde
• Herschel W. Wilde, MD
• Layne J Wilde
• Sandria Stubbs Wilde
• Grace Wilding
• Wildroot Counseling
• Jaime Elizabeth Wiley
• Matthew A Wilkes
• Court Russell Wilkins, O.D.
• Kelly C Wilkins Jr., DMD

• Clinical Social Worker in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.