NPIMap

Organization Active NPI

Wildroots Collective

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1538947353
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WILDROOTS COLLECTIVE
Practice address
114 W Pine St Ste 2
Missoula, MT 59802-4222
Phone
(406) 212-2456
Fax
(307) 333-0843
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Karelia Mowbray, LCPCNPI 1508491499
Title
Owner
Phone
(406) 212-2456

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

114 W Pine St Ste 2
Missoula, MT 59802-4222

Mailing address

114 W Pine St Ste 2
Missoula, MT 59802-4222
Phone (406) 212-2456

National Provider Directory

National Provider Directory

Locations

114 W Pine St
Ste 2
Missoula, MT 59802
Phone (406) 212-2456

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1538947353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W PINE ST STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024222",
            "telephone_number": "406-212-2456",
            "fax_number": "307-333-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W PINE ST STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024222",
            "telephone_number": "406-212-2456",
            "fax_number": "307-333-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROOTS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "MOWBRAY",
        "authorized_official_first_name": "KARELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-212-2456",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.