Organization Active NPI

Wild and Rooted, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Cloud, MN
National Provider Identifier
1790623700
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILD AND ROOTED, LLC
Practice address
3555 Wildflower Rd S
Saint Cloud, MN 56301-6242
Phone
(612) 584-1242
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Samantha Joy Zaid, PHD LMFTNPI 1245502475
Title
Owner
Phone
(612) 584-1242

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3555 Wildflower Rd S
Saint Cloud, MN 56301-6242

Mailing address

3555 Wildflower Rd S
Saint Cloud, MN 56301-6242
Phone (612) 584-1242

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.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1790623700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 WILDFLOWER RD S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016242",
            "telephone_number": "612-584-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WILDFLOWER RD S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016242",
            "telephone_number": "612-584-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD AND ROOTED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ZAID",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-584-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.