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 NPI 1093161044
Title
Owner
Phone
(320) 434-3426

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
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

Other providers in Litchfield, MN

All providers in Litchfield, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.