NPIMap

Organization Active NPI

Wildflower Counseling Services, LLC

  • Mental Health Counselor
  • Erin, TN
National Provider Identifier
1083340384
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILDFLOWER COUNSELING SERVICES, LLC
Practice address
4684 E Main St
Erin, TN 37061-4213
Phone
(931) 709-3217
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Heather Maureen Lill, LPC-MHSPNPI 1154667442
Title
Therapist, Owner
Phone
(931) 709-3217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4684 E Main St
Erin, TN 37061-4213

Mailing address

PO Box 45
Erin, TN 37061-0045
Phone (931) 709-3217

National Provider Directory

National Provider Directory

Locations

4684 E Main St
Erin, TN 37061
Phone (931) 709-3217

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": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1083340384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "370610045",
            "telephone_number": "931-709-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4684 E MAIN ST",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "370614213",
            "telephone_number": "931-709-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "LILL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "THERAPIST, OWNER",
        "authorized_official_telephone_number": "931-709-3217",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.