Organization Active NPI

Wildflower Therapy PLLC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1992596654
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILDFLOWER THERAPY PLLC
Practice address
5950 Fairview Rd Ste 323
Charlotte, NC 28210-0089
Phone
(980) 785-4957
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Hannah CooperNPI 1952024127
Title
Owner & Licensed Counselor
Phone
(980) 785-4957

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 1

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

Addresses

Primary practice location

5950 Fairview Rd Ste 323
Charlotte, NC 28210-0089

Mailing address

3441 South Blvd Unit 455
Charlotte, NC 28209-2074
Phone (843) 602-7950

National Provider Directory

National Provider Directory

Locations

5950 Fairview Rd
Ste 323
Charlotte, NC 28210
Phone (980) 785-4957

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": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1992596654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 SOUTH BLVD UNIT 455",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092074",
            "telephone_number": "843-602-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 323",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100089",
            "telephone_number": "980-785-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER & LICENSED COUNSELOR",
        "authorized_official_telephone_number": "980-785-4957"
    },
    "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 May 13, 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.