Wildflower Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILDFLOWER COUNSELING LLC

Practice address

2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711-5809

Phone

(608) 571-4143

Fax

(608) 531-2790

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By 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

Miss Lee (Hayley) Amanda Clark, M.S. LMFT

Title

Owner/Therapist

Phone

(608) 531-4143

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Hayley Clark, LMFT

  • Marriage & Family Therapist
  • Fitchburg, WI
  • NPI 1831590256
  NPD (past)
• Liza Hahn, LPC-IT

  • Counselor
  • Fitchburg, WI
  • NPI 1164993424
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1659930519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-571-4143",
            "fax_number": "608-531-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-571-4143",
            "fax_number": "608-531-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LEE (HAYLEY)",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "608-531-4143",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S. LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kay Whitney, OTR/L
• Kaylee Rose Wickman, OTR
• Taylor Wienkes, OTD, OTR/L
• Anne Jones Wiersgalla, OTR/L
• Sarah A Wilczewski, CRNA
• Madeline Willi, PT, DPT
• Rachel Ann Willing, CCC-SLP
• Wisconsin CVS Pharmacy LLC (CVS Pharmacy #17192)
• Wisconsin Dialysis, Inc.
• Wisconsin Integrative Hyperbaric Center

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.