Wild Bloom Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILD BLOOM PSYCHOTHERAPY, LLC

Practice address

2416 Towncrest Dr
Iowa City, IA 52240-6622

Phone

(574) 538-8724

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By 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

Jenna Schlegel-Preheim, LISW, LCSW

Title

Owner

Phone

(574) 538-8724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1396640264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406622",
            "telephone_number": "574-538-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406622",
            "telephone_number": "574-538-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD BLOOM PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SCHLEGEL-PREHEIM",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-538-8724",
        "authorized_official_credential": "LISW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Wierzbowski, MD
• Jadon S Wiese, MD
• Josie Lee Wiese
• Elizabeth Mann Wikle, MD
• Jason K Wilbur, MD
• Angela R Wild, M.D., MPH
• Kathleen Wild, ARNP
• John Wilde, DO
• Alyson Paige Wiles
• Gina L Wiley, MA, CCC-SLP

• Clinical Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.