Wild Courage Counseling, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WILD COURAGE COUNSELING, PLLC

Practice address

3803 Lenten Rose
San Antonio, TX 78259-2348

Phone

(504) 321-4183

NPI assigned

Jan 6, 2026

Organization subpart

No

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

Authorized official

Name

Mandy Randall, LPCNPI 1316523749

Title

Owner

Phone

(402) 321-4183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Mandy Randall, LPC, LCDC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1316523749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1033076690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 LENTEN ROSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 LENTEN ROSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592348",
            "telephone_number": "504-321-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD COURAGE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-321-4183",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Violeta Wilburn
• George Wilcox, DO
• Lisa Wear Wilcox, AUD, CCC-A
• Marcus L Wilcox, D.C.
• Robert Wilcox, MA, LPC
• Carlos Wild, CRNA
• Samantha Wild, APRN FNP-C
• Elida Marie Wildberger, RN, MSN, OCN
• Jessica Wilde, F.N.P
• Kathleen Marie Wilde, LCSW

• Adult Mental Health Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.