Blooming Wild Collective PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLOOMING WILD COLLECTIVE PLLC

Practice address

1119 4TH St Ste 220
Sioux City, IA 51101-1930

Phone

(712) 847-2226

NPI assigned

Sep 9, 2026

Organization subpart

No

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

Authorized official

Name

Kelly Sachau, LHMC

Title

Owner; Clinician

Phone

(712) 847-2226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1205746575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 4TH ST STE 220",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011930",
            "telephone_number": "712-847-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 4TH ST STE 220",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011930",
            "telephone_number": "712-847-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING WILD COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "SACHAU",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER; CLINICIAN",
        "authorized_official_telephone_number": "712-847-2226",
        "authorized_official_credential": "LHMC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.