Wild Bloom Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILD BLOOM WELLNESS LLC

Practice address

8050 Freemantle Dr
Colorado Springs, CO 80920-4923

Phone

(719) 331-2232

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Heather LaughlinNPI 1730773540

Title

Owner

Phone

(719) 331-2232

Specialties & licenses 1

Addresses

Practitioners 1

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

• Heather Laughlin, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1730773540
  NPD Authorized official

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1306722038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 FREEMANTLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204923",
            "telephone_number": "719-331-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 FREEMANTLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204923",
            "telephone_number": "719-331-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD BLOOM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "LAUGHLIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-331-2232"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Wilcox
• Paula Wilcox
• Robert Todd Wilcox, M.D.
• William D Wilcox, MD
• Shana Wilcoxson
• Elaina Constance Wild, ELAINA WILD
• Jason R. Wild, M.D.
• Kathryn Elizabeth Wilde, WHNP
• Bonita Jo Wilder, CAC III
• Kate M Wilder, LPCC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.