Wild Fig Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILD FIG PSYCHOTHERAPY, LLC

Practice address

1610 S 70TH St
Lincoln, NE 68506-1565

Phone

(402) 639-7855

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Jamie Keeton

Title

Owner/Mental Health Counselor

Phone

(402) 639-7855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1407479884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 F ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061565",
            "telephone_number": "402-639-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 F St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102836",
            "country_code": "US",
            "telephone_number": "402-639-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILD FIG PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "402-639-7855"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wilcox
• Mary J Wilcox
• Nathaniel Joseph Wilcox
• Sharon Kay Wilcox
• Colette Cailin Wilcoxen
• Joshua Wild, CRNA
• Katharine Wilde, CRNA
• Wilderness Station Pediatric Dentistry
• Ella Wiles, MD
• Melissa Marie Wiles

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.