WILD COURAGE COUNSELING, PLLC
NPI 1033076690
Clinic/Center - Adult Mental Health in San Antonio, TX
About Wild Courage Counseling, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILD COURAGE COUNSELING, PLLC (NPI 1033076690) is a healthcare organization registered as an adult mental health in San Antonio, Texas and active in the NPI registry since January 2026. The organization lists Mandy Randall, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wild Courage Counseling, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wild Courage Counseling, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
San Antonio, TX 78259
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wild Courage Counseling, PLLC's NPI number?
The NPI number for Wild Courage Counseling, PLLC is 1033076690. It was assigned to this organization in the NPPES registry on January 6, 2026.
Where is Wild Courage Counseling, PLLC located?
Wild Courage Counseling, PLLC is located at 3803 Lenten Rose, San Antonio, TX 78259. The listed phone number is (504) 321-4183.
What is Wild Courage Counseling, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Wild Courage Counseling, PLLC enrolled in Medicare?
Yes. Wild Courage Counseling, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wild Courage Counseling, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wild Courage Counseling, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wild Courage Counseling, PLLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wild Courage Counseling, Pllc · NPI 1033076690
Adult Mental Health organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since January 6, 2026.
## Identity
- **NPI:** 1033076690 (Entity type: Organization)
- **Enumerated:** January 6, 2026
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Mandy Randall, OWNER
## Practice location
- **Address:** 3803 LENTEN ROSE, San Antonio, TX 78259-2348
- **Phone:** (504) 321-4183
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033076690) · Data from the CMS NPPES public registry.