Wildly Well Counseling and Empowerment

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILDLY WELL COUNSELING AND EMPOWERMENT

Practice address

617 Allen Ave
Ashtabula, OH 44004-2535

Phone

(440) 855-5246

NPI assigned

Aug 10, 2024

Organization subpart

No

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

Authorized official

Name

Sherri Lyn Sullivan, LPCC-S, LCDCIIINPI 1184928913

Title

Owner/Therapist

Phone

(440) 855-5246

Specialties & licenses 2

Addresses

Practitioners 1

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

• Sherri L Sullivan, PCC-SUPV, LCDC III

  • Professional Counselor
  • Chardon, OH
  • NPI 1184928913
  NPD Authorized official

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1245061373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 ALLEN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042535",
            "telephone_number": "440-855-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 ALLEN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042535",
            "telephone_number": "440-855-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDLY WELL COUNSELING AND EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "440-855-5246",
        "authorized_official_credential": "LPCC-S, LCDCIII"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Wicker
• Marcia L Wickwire, MPT
• Mitchell Wiegand
• Edward A Wiese, MD
• Lynette Wilden
• Meg Wiley, COTA/L
• Archie Scott Wilkinson, M.D.
• William S Mirando MD LLC
• William S. Mirando, MD, LLC
• Autumn Williams

• Professional Counselor in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.