Wild Roots Counseling Services PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILD ROOTS COUNSELING SERVICES PLLC

Practice address

911 S 9TH St Ste 108
Bismarck, ND 58504-5858

Phone

(970) 342-1023

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Mandy Anne Herberholz, LPCCNPI 1609442995

Title

Mental Health Counselor

Phone

(970) 342-1023

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mandy Anne Herberholz

  • Professional Counselor
  • Bismarck, ND
  • NPI 1609442995
  NPD Authorized official

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1467227850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 BURNABY DR N",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585548220",
            "telephone_number": "970-342-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S 9TH ST STE 108",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045858",
            "telephone_number": "970-342-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROOTS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "HERBERHOLZ",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "970-342-1023",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Wiedrich, FNP-C
• Wiegel Chiropractic, P.a.
• Lance Allen Wiegel, D.C.
• Rachael Nora Wiegel, D.C.
• Lacey Wilcox, DPT
• Andrew James Wilder, MD
• Wildflower Mental Health PLLC
• Kyle Wilebski, M.D.
• Caylee Wilke
• Amy Dawn Wilkens Sjomeling, FNP-C

• Community/Behavioral Health Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.