Organization Active NPI

Wild Rose Counseling LLC

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1083428064
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILD ROSE COUNSELING LLC
Practice address
3300 Arapahoe Ave Ste 203
Boulder, CO 80303-1044
Phone
(303) 834-7380
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Jacqueline Rose Richards-Shrestha, MA, LPCNPI 1023729191
Title
Psychotherapist and Owner
Phone
(303) 834-7380

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

3300 Arapahoe Ave Ste 203
Boulder, CO 80303-1044

Mailing address

4516 Starboard CT
Boulder, CO 80301-3127
Phone (303) 834-7380

Other names 1

  • Bodhi Tree Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

3300 Arapahoe Ave
Ste 203
Boulder, CO 80303
Phone (303) 834-7380

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1083428064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 STARBOARD CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013127",
            "telephone_number": "303-834-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ARAPAHOE AVE STE 203",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031044",
            "telephone_number": "303-834-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROSE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDS-SHRESTHA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST AND OWNER",
        "authorized_official_telephone_number": "303-834-7380",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodhi Tree Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.