Wildwood Identity Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILDWOOD IDENTITY COUNSELING LLC

Practice address

6011 Joy Rd
Detroit, MI 48204-2909

Phone

(517) 343-9841

NPI assigned

Sep 11, 2025

Organization subpart

No

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

Authorized official

Name

Iris Mapes, LLMSWNPI 1588434377

Title

Therapist

Phone

(517) 343-9841

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.

• Iris Mapes

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1588434377
  NPD Authorized official

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093696247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7437 WILDWOOD RD",
            "city": "READING",
            "state": "MI",
            "postal_code": "492749727",
            "telephone_number": "517-343-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 JOY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042909",
            "telephone_number": "517-343-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD IDENTITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAPES",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "517-343-9841",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Anne Wilde, MA
• Hailey Nicole Wildenhaus
• Allan Wilder
• Pauline Wilder
• Samantha Wilder, MD
• Jason Wiley, PT
• Jessica Wiley, RRT
• Kristine M. Wiley, LMSW
• Denina Wilford
• Shannon Maureen Wilhelm, RN

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.