Wildflower Therapy Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILDFLOWER THERAPY SERVICES, LLC

Practice address

2780 S Jones Blvd # 200-3222
Las Vegas, NV 89146-5628

Phone

(907) 978-5430

Fax

(725) 220-6404

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Megan Bennett, MS CCC-SLPNPI 1861026007

Title

Owner/Speech Language Pathologist

Phone

(907) 978-5430

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jennifer Bennett

  • Speech-Language Pathologist
  • Henderson, NV
  • NPI 1861026007
  NPD Authorized official

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1265059620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CHACO CANYON DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741987",
            "telephone_number": "907-978-5430",
            "fax_number": "725-220-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD # 200-3222",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "907-978-5430",
            "fax_number": "725-220-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "907-978-5430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilith Wildermuth
• Stephanie Wildermuth, COTA/L
• Curtis Wildes, MS, ATC, CSCS, PES
• Melissa Wildey
• Patricia Wildey
• Danielle Wildharber
• Adam Harris Wilensky, MD
• Kimberly Ann Wiles
• Dayna Electriss Wiley-Alvarado
• Adonis J Wiley

• Speech-Language Pathologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.