Active NPI
Wild Rose Mental Health PLLC
- Community/Behavioral Health Agency
- Idaho Falls, ID
National Provider Identifier
1851258784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Colbert, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1972061059
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.