Wildflower Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILDFLOWER COUNSELING SERVICES LLC

Practice address

4000 Portage St Ste 107
Kalamazoo, MI 49001-4962

Phone

(269) 224-2339

NPI assigned

Mar 28, 2023

Last updated

Jan 16, 2024By 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

Renee N Russo, LPCNPI 1104374776

Title

Owner

Phone

(630) 687-0032

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, and the practitioner matching its NPPES authorized official.

• Renee Nicole Russo, MA, LPC

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1104374776

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1578267290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "NAZARETH",
            "state": "MI",
            "postal_code": "490740334",
            "telephone_number": "269-224-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PORTAGE ST STE 107",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014962",
            "telephone_number": "269-224-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-687-0032",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalli Wikle
• Samuel Wilberforce
• Bethany J Wilcox
• Travis Reed Wilcox, LLMSW
• Gwendolyn Wild
• Rory Patrick Wildner, PA-C
• Steven Thomas Wiles, M.D.
• Jenna Lynn Xin Wilkerson
• Keith Wilkes
• Ruthie Annamay Wilkey, MSN BSN RN

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.