Wild Transformations Therapy and Integrative Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILD TRANSFORMATIONS THERAPY AND INTEGRATIVE SERVICES

Practice address

1624 Green PL
Longmont, CO 80501-5828

Phone

(720) 347-5218

NPI assigned

Jan 11, 2022

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kellee Trautmann, LPC, LAC, NCC

Title

Owner/Behavioral Health Provider

Phone

(720) 347-5218

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, and the practitioner matching its NPPES authorized official.

• Kellee May Myers, LPC, LAC

  • Mental Health Counselor
  • Broomfield, CO
  • NPI 1346610417
  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1568113512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 GREEN PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015828",
            "telephone_number": "720-347-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 GREEN PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015828",
            "telephone_number": "720-347-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD TRANSFORMATIONS THERAPY AND INTEGRATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "TRAUTMANN",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_title_or_position": "OWNER/BEHAVIORAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "720-347-5218",
        "authorized_official_credential": "LPC, LAC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Wiesen, PHARM.D.
• Julia Suzanne Wigert
• Jessica J Wiggins, LPC
• Summer Camille Wilcox, DPT
• Wild Rose Heart LLC
• Joanna Renee Howe Williams, PMHNP
• Kari L Williams, D.C.
• Maggie Williams, LPCC
• Ranelle Williams, CD, CPM
• Sheri L Williams, CNM

• Mental Health Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.