Organization Active NPI

Wildflower Therapy Collective

  • Marriage & Family Therapist
  • Charlotte, NC
National Provider Identifier
1285598359
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WILDFLOWER THERAPY COLLECTIVE
Practice address
1222 Kenilworth Ave Ste 4
Charlotte, NC 28204-2910
Phone
(704) 625-6125
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Octavia Henry, LMFTNPI 1497520761
Title
Owner
Phone
(704) 625-6125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1222 Kenilworth Ave Ste 4
Charlotte, NC 28204-2910

Mailing address

1222 Kenilworth Ave Ste 4
Charlotte, NC 28204-2910

National Provider Directory

National Provider Directory

Locations

1222 Kenilworth Ave
Ste 4
Charlotte, NC 28204
Phone (704) 625-6125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1285598359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 KENILWORTH AVE STE 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 KENILWORTH AVE STE 4",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042910",
            "telephone_number": "704-625-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER THERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-625-6125",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

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