Organization Active NPI

Wildroot Relationship Therapy PLLC

  • Marriage & Family Therapist
  • Montgomery, IL
National Provider Identifier
1639096985
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WILDROOT RELATIONSHIP THERAPY PLLC
Practice address
2335 Thunder Gulch Rd
Montgomery, IL 60538-3442
Phone
(630) 618-2208
Fax
(331) 226-0421
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Kathryn Joy Tune, LMFT
Title
Owner
Phone
(630) 379-9743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2335 Thunder Gulch Rd
Montgomery, IL 60538-3442

Mailing address

2472 US Highway 30
Ste B-103 Pmb125
Oswego, IL 60543-8974
Phone (630) 618-2208

National Provider Directory

National Provider Directory

Locations

2472 US Highway 30
Ste B103
Oswego, IL 60543

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1639096985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 US HIGHWAY 30",
            "address_2": "STE B-103 PMB125",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438974",
            "telephone_number": "630-618-2208",
            "fax_number": "331-226-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 THUNDER GULCH RD",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605383442",
            "telephone_number": "630-618-2208",
            "fax_number": "331-226-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDROOT RELATIONSHIP THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "TUNE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-379-9743",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, IL

Sources for this page

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