Organization Active NPI

Wildflower Counseling and Wellness, LLC

  • Mental Health Counselor
  • Washington, PA
National Provider Identifier
1083421671
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILDFLOWER COUNSELING AND WELLNESS, LLC
Practice address
1445 Washington Rd
Washington, PA 15301-9711
Phone
(724) 250-0262
Fax
(724) 416-7102
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Heather Marshall, MA, LPC, PMH-CNPI 1811458631
Title
Owner
Phone
(724) 250-0262

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1445 Washington Rd
Washington, PA 15301-9711

Mailing address

PO Box 1534
Washington, PA 15301-7534
Phone (724) 250-0262

National Provider Directory

National Provider Directory

Locations

1445 Washington Rd
Washington, PA 15301
Phone (724) 250-0262

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": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1083421671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1534",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153017534",
            "telephone_number": "724-250-0262",
            "fax_number": "724-416-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019711",
            "telephone_number": "724-250-0262",
            "fax_number": "724-416-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-250-0262",
        "authorized_official_credential": "MA, LPC, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.