Wild Hope Counseling & Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3956-125 Issued in WI

Legal business name

WILD HOPE COUNSELING & WELLNESS, LLC

Practice address

215 N Main St Ste 204
West Bend, WI 53095-3347

Phone

(262) 343-8285

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Erika M. Bublitz, MA, LPCNPI 1881714681

Title

Owner/Professional Counselor

Phone

(262) 339-9949

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Erika M Bublitz, M.A., L.P.C.

  • Professional Counselor
  • West Bend, WI
  • NPI 1881714681
  NPD (past) Authorized official

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1023510229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WALSH ACRES DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST STE 204",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953347",
            "telephone_number": "262-343-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD HOPE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "BUBLITZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "262-339-9949",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3956-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881714681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43729700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Whitehead, FNP
• Rebecca Whiting, M.A., LPC, CSAC
• Lauren Wichelmann, DO
• Krysti K Wick, D.C.
• Michael James Wiedmeyer, L.P.N.
• Elizabeth Anne Wildt, R.N.
• Abby Anne Wilson, COTA
• Wisconsin Dental Group, S.C.
• Wisconsin Spine and Pain SC
• Sarah Witte, LCSW

• Professional Counselor in West Bend, WI
• Providers in West Bend, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.