Organization Active NPI

Wildflower Psychology and Consulting, LLC

  • Clinical Psychologist
  • Edmond, OK
National Provider Identifier
1326850629
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WILDFLOWER PSYCHOLOGY AND CONSULTING, LLC
Practice address
2529 S Kelly Ave Ste B
Edmond, OK 73013-2976
Phone
(405) 454-8016
Fax
(405) 583-4963
NPI assigned
Jan 23, 2025
Last updated
Jan 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Authorized official

Name
Dr. Keely Rae Johnson, PSYDNPI 1154047314
Title
Clinical Psychologist
Phone
(406) 861-9530

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
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2529 S Kelly Ave Ste B
Edmond, OK 73013-2976

Mailing address

2529 S Kelly Ave Ste B
Edmond, OK 73013-2976
Phone (405) 454-8016

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767225600000",
    "number": "1326850629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 S KELLY AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132976",
            "telephone_number": "405-454-8016",
            "fax_number": "405-583-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S KELLY AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132976",
            "telephone_number": "405-454-8016",
            "fax_number": "405-583-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER PSYCHOLOGY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "406-861-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.