Organization Active NPI

Wild Rose Mental Health PLLC

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1851258784
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILD ROSE MENTAL HEALTH PLLC
Practice address
330 Shoup Ave Ste 313
Idaho Falls, ID 83402-3650
Phone
(986) 294-0262
NPI assigned
Jan 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Jessica Colbert, LCSWNPI 1972061059
Title
Owner/Manager
Phone
(986) 294-0262

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

330 Shoup Ave Ste 313
Idaho Falls, ID 83402-3650

Mailing address

7761 N 55TH E
Idaho Falls, ID 83401-5530
Phone (986) 294-0262

National Provider Directory

National Provider Directory

Locations

330 Shoup Ave
Ste 313
Idaho Falls, ID 83402
Phone (986) 294-0262

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": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1851258784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 N 55TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015530",
            "telephone_number": "986-294-0262",
            "fax_number": "208-693-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SHOUP AVE STE 313",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023650",
            "telephone_number": "986-294-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROSE MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "986-294-0262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.