Wildflower Counseling LLC
Organization Active NPI Mental Health Counselor · Litchfield, MN
NPI 1417653262 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1417653262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- WILDFLOWER COUNSELING LLC
- Practice address
- 125 S Sibley Ave Ste 5
Litchfield, MN 55355-2831 - Phone
- (320) 434-3426
- Fax
- (320) 323-1782
- NPI assigned
- Feb 3, 2023
- Organization subpart
- No
Authorized official
- Name
- Lindsey Greenlun
- Title
- Owner
- Phone
- (320) 434-3426
Practitioners 5
-
Lindsey Greenlun, LMFT, LADC
-
Jennifer Engel, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241206002951 | MN | Part B Supplier - Clinic/Group Practice | 3173059672 |
Receives reassigned benefits from 1 practitioner Practice locations: Litchfield, MN; Hutchinson, MN |
National Provider Directory
Locations
145 Glen St SW
Hutchinson, MN 55350
Phone (320) 535-2176
125 S Sibley Ave
Ste 5
Litchfield, MN 55355
Phone (320) 434-3426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
125 S Sibley Ave Ste 5
Litchfield, MN 55355-2831
Mailing address
125 S Sibley Ave Ste 5
Litchfield, MN 55355-2831
Phone (320) 434-3426
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All providers in Litchfield, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.