Wild Heart Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILD HEART COUNSELING, LLC

Practice address

279 Redstone Hill Rd Apt 74
Bristol, CT 06010-7981

Phone

(860) 498-8374

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Kayla Lukes, LPCNPI 1538694286

Title

Owner/Sole Employee

Phone

(860) 307-3815

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kayla Lukes

  • Mental Health Counselor
  • Bristol, CT
  • NPI 1538694286
  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1508457078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 REDSTONE HILL RD APT 74",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 REDSTONE HILL RD APT 74",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107981",
            "telephone_number": "860-498-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD HEART COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "LUKES",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER/SOLE EMPLOYEE",
        "authorized_official_telephone_number": "860-307-3815",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wheeler Clinic Inc.
• Wheeler Clinic Inc.
• Sydney Wheelock
• Gene Whitaker, PHARMD
• Laureen Whitney, RPH
• Theresa Eileen Wild, RN
• Alexis Tinelle Williams, LMSW
• Jaret Terrell Williams, PA-C
• Laqueena T Williams, PA-C
• Wilson & Perkins PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bristol, CT
• Providers in Bristol, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.