Wild Ethos Family Counseling Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WILD ETHOS FAMILY COUNSELING INC

Practice address

3148 Carrington LN
Columbia, TN 38401-8642

Phone

(931) 539-0373

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Jill Luke

Title

Secretary

Phone

(931) 539-0373

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Adam Luke, LMFT

  • Marriage & Family Therapist
  • Columbia, TN
  • NPI 1336637511
  NPD

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681603200000",
    "number": "1235718354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371790315",
            "telephone_number": "931-539-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 CARRINGTON LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384018642",
            "telephone_number": "931-539-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ETHOS FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "931-539-0373"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wildethos@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2205 Maytown Cir",
            "city": "Thompsons Station",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371791013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Therese L Whitten, MD
• H James Wiesman Jr., M.D.
• Alanah Mersades Wiggins-Tallman
• C. Douglas Wilburn, M.D.
• Lauren Wilburn, D.D.S
• Abigail Grace Wilder
• Robert C. Wilhite Jr., DDS
• David Spencer Williams, D.D.S., M.S.
• Kyle Williams, DDS
• Mark Zachary Williams

• Marriage & Family Therapist in Columbia, TN
• Providers in Columbia, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.