Wild Bloom Speech and Language Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILD BLOOM SPEECH AND LANGUAGE THERAPY LLC

Practice address

4385 Comanche Dr Apt 1
Boulder, CO 80303-3670

Phone

(952) 381-7410

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie BrellenthinNPI 1285196709

Title

Speech-Language Pathologist

Phone

(952) 381-7410

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, and the practitioner matching its NPPES authorized official.

• Katie Brellenthin

  • Speech-Language Pathologist
  • Denver, CO
  • NPI 1285196709
  NPD Authorized official

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1366237794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 COMANCHE DR APT 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 COMANCHE DR APT 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033670",
            "telephone_number": "952-381-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD BLOOM SPEECH AND LANGUAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BRELLENTHIN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "952-381-7410"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Widler, B.S.
• David P Wiebe, MD
• Drigan D Wieder, MD
• Elizabeth E Wiig, MT
• Thomas Matthew Wilcox, DO
• Wild Rose Counseling LLC (Bodhi Tree Counseling)
• P. Diane Wild, LCSW
• Wilder Language and Learning
• Larisa M Wilder, CCC-SLP
• Sandra Wilder

• Speech-Language Pathologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Speech-Language Pathologist in Colorado

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