Organization Active NPI

Wildflower Therapy Services, PLLC

  • Mental Health Counselor
  • Morgantown, WV
National Provider Identifier
1326727694
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILDFLOWER THERAPY SERVICES, PLLC
Practice address
1253 Canyon Rd Ste 9
Morgantown, WV 26508-9273
Phone
(304) 449-4926
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Jessica Aigner, LICSWNPI 1588182059
Title
Owner
Phone
(304) 449-4926

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1253 Canyon Rd Ste 9
Morgantown, WV 26508-9273

Mailing address

1253 Canyon Rd Ste 9
Morgantown, WV 26508-9273
Phone (304) 449-4926

Other names 1

  • Wildflower Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

1253 Canyon Rd
Ste 9
Morgantown, WV 26508
Phone (304) 449-4926

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": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1326727694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 CANYON RD STE 9",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089273",
            "telephone_number": "304-449-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 CANYON RD STE 9",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089273",
            "telephone_number": "304-449-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "AIGNER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-449-4926",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.