Organization Active NPI

Wild Heart Wellness, LLC

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1013867365
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILD HEART WELLNESS, LLC
Practice address
421 W Riverside Ave Ste 711
Spokane, WA 99201-0402
Phone
(509) 720-8369
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Jessie Cook, MSW, LICSW
Title
Owner, Provider
Phone
(509) 720-8369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

421 W Riverside Ave Ste 711
Spokane, WA 99201-0402

Mailing address

421 W Riverside Ave Ste 711
Spokane, WA 99201-0402
Phone (509) 720-8369

National Provider Directory

National Provider Directory

Locations

421 W Riverside Ave
Ste 711
Spokane, WA 99201
Phone (509) 720-8128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1013867365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 711",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010402",
            "telephone_number": "509-720-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE STE 711",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010402",
            "telephone_number": "509-720-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD HEART WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "509-720-8369",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.