Wild Roots Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WILD ROOTS COUNSELING LLC

Practice address

11670 Fountains Dr Ste 278
Maple Grove, MN 55369-7195

Phone

(612) 361-7688

Fax

(612) 230-2034

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Toni Stone, LMFTNPI 1689048399

Title

Owner/Therapist

Phone

(612) 361-7688

Specialties & licenses 1

Addresses

Other names 1

• Wild Roots Counseling LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Toni Stone, LMFT

  • Marriage & Family Therapist
  • Maple Grove, MN
  • NPI 1689048399
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1104673151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 278",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "612-361-7688",
            "fax_number": "612-230-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 FOUNTAINS DR STE 278",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697195",
            "telephone_number": "612-361-7688",
            "fax_number": "612-230-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 Northland Cir N Ste 104-H",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554281548",
            "country_code": "US",
            "telephone_number": "612-361-7688",
            "fax_number": "612-230-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILD ROOTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-361-7688",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Roots Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Wiencke, MA, LPCC
• Jill Katherine Wieser, MD
• Sarah Elisabeth Wiger, PA
• Jeannette Louise Wilcox, MD
• Leslie Lorraine Wilcox, D.D.S.
• Hannah Willford, DC
• William J. Dunlap, D.D.S., P.a.
• Elizabeth Williams
• Gorgeous T'Arie Williams
• Justin T Williams

• All providers in Maple Grove, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.