Active NPI
Wild Roots Speech & Language LLC
- Hearing and Speech Clinic/Center
- Eureka, MT
National Provider Identifier
1972428225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- WILD ROOTS SPEECH & LANGUAGE LLC
- Practice address
- 604 1St Ave E
Eureka, MT 59917 - Phone
- (316) 644-2077
- NPI assigned
- Aug 13, 2026
- Last updated
- Aug 13, 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
- Amanda G Erickson, CCC-SLP
- Title
- Speech Pathologist
- Phone
- (316) 644-2077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
604 1St Ave E
Eureka, MT 59917
Mailing address
PO Box 123
Eureka, MT 59917-0123
Phone (316) 644-2077
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Eureka, MT
- NPI 1316633985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1972428225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"city": "EUREKA",
"state": "MT",
"postal_code": "599170123",
"telephone_number": "316-644-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 1ST AVE E",
"city": "EUREKA",
"state": "MT",
"postal_code": "59917",
"telephone_number": "316-644-2077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILD ROOTS SPEECH & LANGUAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "316-644-2077",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.