Organization Active NPI

Wilderway Therapy PLLC

  • Mental Health Counselor
  • Westminster, CO
National Provider Identifier
1306744867
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILDERWAY THERAPY PLLC
Practice address
11031 Sheridan Blvd Ste 200
Westminster, CO 80020-3437
Phone
(360) 220-8645
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Farrin E Foss, MA, LPC
Title
Licensed Professional Counselor
Phone
(360) 220-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11031 Sheridan Blvd Ste 200
Westminster, CO 80020-3437

Mailing address

11012 Circle Point Rd Unit 115
Westminster, CO 80020-2878
Phone (360) 220-8645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1306744867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 CIRCLE POINT RD UNIT 115",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800202878",
            "telephone_number": "360-220-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11031 SHERIDAN BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203437",
            "telephone_number": "360-220-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERWAY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "FARRIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "360-220-8645",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.