Wild Iris Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILD IRIS COUNSELING LLC

Practice address

1518 S 1100 E Ste B
Salt Lake City, UT 84105-2579

Phone

(385) 355-1799

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

Rosa Waters, LCSWNPI 1346983673

Title

Owner

Phone

(804) 543-8999

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.

• Rosa Waters

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1346983673
  NPD Authorized official

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1124902143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 E STRATFORD AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061716",
            "telephone_number": "804-543-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 S 1100 E STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052579",
            "telephone_number": "385-355-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD IRIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-543-8999",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauri Wilcox
• Ross Wilcox, MSPT
• Shalayne Wilcox
• William Wilcox
• Wild Expanse Counseling PLLC
• Kelsey Wild, RD
• Arely Wilde
• Braden Wilde, DDS, MSD
• Brandon Wilde
• Clayton S Wilde, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.