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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILD ROOTS COUNSELING LLC
NPI 1104673151
Marriage & Family Therapist in Brooklyn Park, MN

Active since May 06, 2024
7100 NORTHLAND CIR N STE 104-H, BROOKLYN PARK, MN 55428(612) 361-7688(612) 230-2034 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Sep 11, 2026, Jan 6, 2025 and 2 more (5 updates tracked since 2024).

About Wild Roots Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD ROOTS COUNSELING LLC (NPI 1104673151) is a healthcare organization registered as a marriage & family therapist in Brooklyn Park, Minnesota and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Maple Grove and lists Toni Stone, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1104673151
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameWILD ROOTS COUNSELING LLC
Location Address7100 NORTHLAND CIR N STE 104-HBrooklyn Park, MN 55428-1548
Mailing Address7100 Northland Cir N Ste 104-hBrooklyn Park, MN 55428-1548 · (612) 361-7688 · Fax (612) 230-2034
Phone(612) 361-7688
Fax(612) 230-2034
Organization SubpartNo
Authorized OfficialToni StoneOwner/therapist · (612) 361-7688
Enumeration DateMay 6, 2024
Last NPPES UpdateOctober 5, 20265 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1104673151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
7100 NORTHLAND CIR N STE 104-H, Brooklyn Park, MN 55428
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Other Names 1

Doing Business AsWild Roots Counseling Llc

Secondary Practice Location 1

Location 111670 Fountains Dr N Ste 278Maple Grove, MN 55369-7235 · Phone (612) 361-7688 · Fax (612) 230-2034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 Roots Counseling Llc 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 Roots Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Toni Stone, LMFT
Marriage and Family Therapist
NPI 1689048399
11670 FOUNTAINS DR STE 278
Maple Grove, MN 55369
(612) 361-7688
✔ PECOS✔ Accepts Medicare2.0 mi

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 Roots Counseling LLC's NPI number?

The NPI number for Wild Roots Counseling LLC is 1104673151. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is Wild Roots Counseling LLC located?

Wild Roots Counseling LLC is located at 7100 Northland Cir N Ste 104-H, Brooklyn Park, MN 55428. The listed phone number is (612) 361-7688.

What is Wild Roots Counseling LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Wild Roots Counseling LLC enrolled in Medicare?

Yes. Wild Roots Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wild Roots Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Wild Roots Counseling LLC. 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.

What insurance does Wild Roots Counseling LLC accept?

Health plans from HealthPartners list Wild Roots Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wild Roots Counseling LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.