Active NPI
Wild Heart Wellness PLLC
- Clinical Social Worker
- Ludington, MI
National Provider Identifier
1982477105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WILD HEART WELLNESS PLLC
- Doing business as
- Wild Heart Wellness
- Practice address
- 101 S James St Ste 204
Ludington, MI 49431-2166 - Phone
- (231) 233-3111
- Fax
- (231) 410-1014
- NPI assigned
- Oct 31, 2023
- 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
- Jennifer M Swanger
- Title
- Owner
- Phone
- (231) 233-3111
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
101 S James St Ste 204
Ludington, MI 49431-2166
Mailing address
101 S James St Ste 204
Ludington, MI 49431-2166
Phone (231) 233-3111
Other names 1
- Wild Heart Wellness
National Provider Directory
National Provider DirectoryLocations
101 S James St
Ste 204
Ludington, MI 49431
Phone (231) 233-3111
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
- Ludington, MI
- NPI 1518258771
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1982477105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S JAMES ST STE 204",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312166",
"telephone_number": "231-233-3111",
"fax_number": "231-410-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S JAMES ST STE 204",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494312166",
"telephone_number": "231-233-3111",
"fax_number": "231-410-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILD HEART WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-31",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "SWANGER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-233-3111"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wild Heart Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wild Heart Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.