Wild Wellness Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILD WELLNESS INC.

Practice address

449 Pittsfield Rd Ste 105
Lenox, MA 01240-2107

Phone

(413) 591-9355

Fax

(413) 429-4342

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Eric Krawczyk, LMHCNPI 1255721494

Title

Owner

Phone

(413) 591-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Eric Krawczyk, LPCC

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1255721494

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1215799093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MIDDLE RD",
            "city": "AUSTERLITZ",
            "state": "NY",
            "postal_code": "120171725",
            "telephone_number": "413-591-9355",
            "fax_number": "413-429-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 PITTSFIELD RD STE 105",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402107",
            "telephone_number": "413-591-9355",
            "fax_number": "413-429-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "KRAWCZYK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-591-9355",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berta Warner
• Terry P Weaver, M.D.
• Dillon Welch
• Thomas Christian Wessel, MD, PHD
• Anna Wiegandt
• Cynthia Helen Wild, LMHC
• Irene Mary Wolcott
• Ashley Elizabeth Wrzesinski, MSN, APRN, FNP-BC

• Mental Health Counselor in Lenox, MA
• Providers in Lenox, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.