Wild Heart Marriage & Family Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WILD HEART MARRIAGE & FAMILY COUNSELING

Doing business as

Wild Heart Counseling

Practice address

126 Prospect St Ste 210
Pawtucket, RI 02860-4429

Phone

(323) 839-6925

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Dejuan L Evans, LMFTNPI 1831635937

Title

Ceo

Phone

(323) 839-6925

Specialties & licenses 1

Addresses

Other names 1

• Wild Heart Counseling Doing business as

Locations

Practitioners 1

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

• Dejuan Evans

  • Marriage & Family Therapist
  • Camarillo, CA
  • NPI 1831635937
  NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1275346330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027610041",
            "telephone_number": "323-839-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604429",
            "telephone_number": "323-839-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD HEART MARRIAGE & FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DEJUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-839-6925",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Heart Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tori Whetstone, LCSW
• Robert White, RPH, CDOE
• Lee Miriam Whitman-Raymond, PHD
• Robert Green Whitman-Raymond, MSW, CAS
• Whole Health Physical Therapy
• Wild Physical Therapy and Wellness LLC
• Wild Rose Therapy, LLC
• Brian Wiley, DO
• Carrie Williams, MASTERS
• Christine Lucene Williams, LICSW

• Marriage & Family Therapist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Marriage & Family Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.