Wildwood Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILDWOOD COUNSELING PLLC

Practice address

1942 Broadway Ste 314C
Boulder, CO 80302-5233

Phone

(773) 234-3613

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Kelsey Rottmuller, LCPC, NCCNPI 1750943098

Title

Founder

Phone

(773) 234-3613

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelsey Lamm Rottmuller

  • Professional Counselor
  • Chicago, IL
  • NPI 1750943098
  NPD Authorized official

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1073338372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 BROADWAY STE 314C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 BROADWAY STE 314C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025233",
            "telephone_number": "773-234-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ROTTMULLER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-234-3613",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa M Wilder, CCC-SLP
• Sandra Wilder
• Nicole Wildermuth, PT,DPT,CSCS
• Wildflower Family Wellness
• Wildhome Therapy, LLC
• Laura Wilkes, M.A.
• Lauren Mariel Wilkins
• Linda L. Wilkinson, PH.D, LPC
• Lindsey Wilkinson, LPCC
• Justin Russell Willcoxson

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.