Organization Active NPI

Wild Blossom Counseling, LLC

  • Mental Health Counselor
  • Ankeny, IA
National Provider Identifier
1720796428
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILD BLOSSOM COUNSELING, LLC
Practice address
3123 SW Sunnybrooke CT
Ankeny, IA 50023-6220
Phone
(515) 339-1185
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
April MahlerNPI 1427612852
Title
LMHC/Owner
Phone
(515) 339-1185

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3123 SW Sunnybrooke CT
Ankeny, IA 50023-6220

Mailing address

3123 SW Sunnybrooke CT
Ankeny, IA 50023-6220
Phone (515) 339-1185

National Provider Directory

National Provider Directory

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1720796428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 SW SUNNYBROOKE CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500236220",
            "telephone_number": "515-339-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 SW SUNNYBROOKE CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500236220",
            "telephone_number": "515-339-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD BLOSSOM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "MAHLER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "LMHC/OWNER",
        "authorized_official_telephone_number": "515-339-1185"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.