Organization Active NPI

Wild and Wonderful Behavioral Health, PLLC

Doing business as Wild and Wonderful Behavioral Health

  • Clinical Social Worker
  • Barboursville, WV
National Provider Identifier
1376498642
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WILD AND WONDERFUL BEHAVIORAL HEALTH, PLLC
Doing business as
Wild and Wonderful Behavioral Health
Practice address
56 West LN
Barboursville, WV 25504-1336
Phone
(912) 710-8028
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Jessica Nichole Slash, LICSWNPI 1427460070
Title
Executive Director
Phone
(912) 710-8028

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

56 West LN
Barboursville, WV 25504-1336

Mailing address

56 West LN
Barboursville, WV 25504-1336
Phone (912) 710-8028

Other names 1

  • Wild and Wonderful Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

56 West Ln
Barboursville, WV 25504
Phone (912) 710-8028

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": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1376498642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WEST LN",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041336",
            "telephone_number": "912-710-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WEST LN",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041336",
            "telephone_number": "912-710-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD AND WONDERFUL BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "SLASH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-710-8028",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild and Wonderful Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.