Organization Active NPI

Wild and Rooted Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wasilla, AK
National Provider Identifier
1396639753
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILD AND ROOTED WELLNESS
Practice address
231 E Swanson Ave # 15
Wasilla, AK 99654-7056
Phone
(907) 841-6798
NPI assigned
Jun 9, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Morgan Yaskus, LPCNPI 1861004962
Title
Owner
Phone
(907) 841-6798

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

231 E Swanson Ave # 15
Wasilla, AK 99654-7056

Mailing address

2685 N Alma Dr
Wasilla, AK 99623-9195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251208002866 AK Part B Supplier - Clinic/Group Practice 0446744452 Receives reassigned benefits from 1 practitioner
Practice locations: Wasilla, AK

National Provider Directory

National Provider Directory

Locations

231 E Swanson Ave
#15
Wasilla, AK 99654
Phone (844) 786-2180

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1396639753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 N ALMA DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996239195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E SWANSON AVE # 15",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547056",
            "telephone_number": "907-841-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD AND ROOTED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "YASKUS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-841-6798",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.