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WILD ROOTS COUNSELING
NPI 1114892460
Counselor - Mental Health in Wilmington, NC

Active since October 07, 2025
371 N FRONT ST STE 371-H, WILMINGTON, NC 28401(980) 819-1037 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wild Roots Counseling NPPES

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

WILD ROOTS COUNSELING (NPI 1114892460) is a healthcare organization registered as a mental health in Wilmington, North Carolina and active in the NPI registry since October 2025. The organization lists Jordan Mary Killian, Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1114892460
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILD ROOTS COUNSELING
Location Address371 N FRONT ST STE 371-HWilmington, NC 28401-3908
Mailing Address371 N Front St Ste 371-hWilmington, NC 28401-3908 · (602) 999-9565
Phone(980) 819-1037
Organization SubpartNo
Authorized OfficialJordan Mary KillianMental Health Therapist · (602) 999-9565
Enumeration DateOctober 7, 2025
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1114892460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
371 N FRONT ST STE 371-H, Wilmington, NC 28401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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's NPI number?

The NPI number for Wild Roots Counseling is 1114892460. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Wild Roots Counseling located?

Wild Roots Counseling is located at 371 N Front St Ste 371-H, Wilmington, NC 28401. The listed phone number is (980) 819-1037.

What is Wild Roots Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wild Roots Counseling was last updated on October 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.