Organization Active NPI

Wild Soul Well-Being PLLC

  • Adult Mental Health Clinic/Center
  • Glendale, CO
National Provider Identifier
1629803101
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WILD SOUL WELL-BEING PLLC
Practice address
870 S Colorado Blvd # 1172
Glendale, CO 80246-2080
Phone
(720) 507-8455
NPI assigned
Sep 4, 2024
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Caroline Rapp, CSWNPI 1427594373
Title
Owner
Phone
(720) 507-8455

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

870 S Colorado Blvd # 1172
Glendale, CO 80246-2080

Mailing address

870 S Colorado Blvd # 1172
Glendale, CO 80246-2080
Phone (720) 507-8455

National Provider Directory

National Provider Directory

Locations

870 S Colorado Blvd
#1172
Glendale, CO 80246
Phone (720) 507-8455

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1629803101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S COLORADO BLVD # 1172",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462080",
            "telephone_number": "720-507-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S COLORADO BLVD # 1172",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462080",
            "telephone_number": "720-507-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD SOUL WELL-BEING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-507-8455",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.