Wildflower Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WILDFLOWER WELLNESS LLC

Practice address

805 Century Dr Ste 5
Dubuque, IA 52002-3771

Phone

(563) 279-0868

NPI assigned

Jan 25, 2024

Last updated

Jan 25, 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

Blair Birkett, M.A, LMHCNPI 1245780188

Title

Mental Health Therapist

Phone

(563) 279-0868

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.

• Blair J Birkett, TMLHC

  • Mental Health Counselor
  • Waterloo, IA
  • NPI 1245780188
  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1619739505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTURY DR STE 5",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023771",
            "telephone_number": "563-279-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CENTURY DR STE 5",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023771",
            "telephone_number": "563-279-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BIRKETT",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "563-279-0868",
        "authorized_official_credential": "M.A, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wiedemeier, PHARMD
• Theresa Wiegman, RN
• Jon Davis Wiese, MD
• James W. Wieters, CRNA
• Wildflower Kids Dentistry PLLC
• Catherine Mary Wilhelm, OTR/L
• Sarah Will, PTA
• William C. Kuttler, D.D.S., P.C.
• Ashley Williams, ARNP
• Thomas P Williams, DDS

• Community/Behavioral Health Agency in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.