Organization Active NPI

Wild & Wise Counseling

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1881406726
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILD & WISE COUNSELING
Practice address
9105 Laurel Ridge TRL
Charlotte, NC 28269-0330
Phone
(704) 609-6785
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Ariell M Murcko
Title
Owner
Phone
(704) 609-6785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9105 Laurel Ridge TRL
Charlotte, NC 28269-0330

Mailing address

9105 Laurel Ridge TRL
Charlotte, NC 28269-0330
Phone (704) 609-6785

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": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1881406726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 LAUREL RIDGE TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690330",
            "telephone_number": "704-609-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 LAUREL RIDGE TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690330",
            "telephone_number": "704-609-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD & WISE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "M MURCKO",
        "authorized_official_first_name": "ARIELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-609-6785"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.