Wild Hearts Counseling and Wellness, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILD HEARTS COUNSELING AND WELLNESS, PLLC

Practice address

7472 Waterside Loop Dr.
#114
Denver, NC 28037

Phone

(980) 222-4788

NPI assigned

Nov 6, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Clarissa A CaskeyNPI 1104395888

Title

Owner

Phone

(980) 222-4788

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Clarissa A Caskey, MA, LPC-A

  • Professional Counselor
  • Denver, NC
  • NPI 1104395888
  NPD Authorized official

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1326682907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7472 WATERSIDE LOOP RD",
            "address_2": "#114",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379240",
            "telephone_number": "980-222-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7472 WATERSIDE LOOP DR.",
            "address_2": "#114",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "980-222-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD HEARTS COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "CASKEY",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-222-4788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Wells, DDS
• West Lake Chiropractic PC
• West Lake Norman Chiropractic & Wellness Center PLLC
• Mary Elizabeth Martineau White, R.PH
• Melanie Rogers Whitten, MS, CRC, LCMHC-A
• Haley Wilder
• Toni Willis, LMHC
• Herbert Smith Wilmer, DDS
• Crystal Beard Wilson, FNP
• Katherine Jones Wilson, MA, CCC-SLP

• Professional Counselor in Denver, NC
• Providers in Denver, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.