Wild Blossoms Counseling, PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WILD BLOSSOMS COUNSELING, PLLC

Practice address

207 W Hickory St
Ste 305
Denton, TX 76201-4156

Phone

(940) 400-3381

NPI assigned

Sep 20, 2023

Last updated

Sep 26, 2023By 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

Breana JonesNPI 1558915793

Title

Chief Executive Officer

Phone

(325) 668-6241

Specialties & licenses 4

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.

• Breana Jones, LPC

  • Professional Counselor
  • Denton, TX
  • NPI 1558915793

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1588442545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST",
            "address_2": "STE 305",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014156",
            "telephone_number": "940-400-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST",
            "address_2": "STE 305",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014156",
            "telephone_number": "940-400-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD BLOSSOMS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BREANA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "325-668-6241"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Whitted, LPC, CSAT
• Kayla Renae Whitworth, LCSW
• Whole Reflections, LLC
• Samantha Widmer, PT, DPT
• Randy Anthony Wiebelhaus, O.D.
• Adam Wayne Williams, D.C.
• Amy Williams
• Audra Williams, LCSW
• Bryant Williams, MT-BC
• Charlie Brendan Williams, M.D.

• Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.