Active NPI
Wildflower Counseling & Consulting LLC
- Clinical Social Worker
- Burlington, VT
National Provider Identifier
1649066465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WILDFLOWER COUNSELING & CONSULTING LLC
- Practice address
- 125 College St Ste 3
Burlington, VT 05401-8444 - Phone
- (802) 316-8288
- NPI assigned
- Apr 17, 2025
- Last updated
- Apr 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Keenan, LICSW
- Title
- Owner
- Phone
- (845) 300-5861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
125 College St Ste 3
Burlington, VT 05401-8444
Mailing address
125 College St Ste 3
Burlington, VT 05401-8444
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Burlington, VT
- NPI 1376167528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1649066465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 COLLEGE ST STE 3",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054018444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COLLEGE ST STE 3",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054018444",
"telephone_number": "802-316-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDFLOWER COUNSELING & CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-17",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "KEENAN",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-300-5861",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.