WILD WELLNESS INC.
NPI 1215799093
Counselor - Mental Health in Lenox, MA

Active since January 26, 2024
449 PITTSFIELD RD STE 105, LENOX, MA 01240(413) 591-9355(413) 429-4342 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wild Wellness Inc. NPPES

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

WILD WELLNESS INC. (NPI 1215799093) is a healthcare organization registered as a mental health in Lenox, Massachusetts and active in the NPI registry since January 2024. The organization lists Eric Krawczyk, Owner, as its authorized official.

NPPES Registry Identity

NPI1215799093
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILD WELLNESS INC.
Location Address449 PITTSFIELD RD STE 105Lenox, MA 01240-2107
Mailing Address230 Middle RdAusterlitz, NY 12017-1725 · (413) 591-9355 · Fax (413) 429-4342
Fax(413) 429-4342
Organization SubpartNo
Authorized OfficialEric KrawczykOwner · (413) 591-9355
Enumeration DateJanuary 26, 2024
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1215799093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
449 PITTSFIELD RD STE 105, Lenox, MA 01240

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

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 Wellness Inc. 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 Wellness Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1255721494
4628 MIKE COLALILLO DR
Duluth, MN 55807
(218) 409-6726
✔ PECOS✔ Accepts Medicare977 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 Wellness Inc.'s NPI number?

The NPI number for Wild Wellness Inc. is 1215799093. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Wild Wellness Inc. located?

Wild Wellness Inc. is located at 449 Pittsfield Rd Ste 105, Lenox, MA 01240. The listed phone number is (413) 591-9355.

What is Wild Wellness Inc.'s specialty?

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

Is Wild Wellness Inc. enrolled in Medicare?

Yes. Wild Wellness Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wild Wellness Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wild Wellness Inc.. 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 Wellness Inc. was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.