WILDFLOWER INTUITIVE CENTER, LLC
NPI 1235774407
Social Worker - Clinical in Boise, ID

Active since November 12, 2019
4696 W OVERLAND RD STE 276, BOISE, ID 83705(208) 722-2200(208) 912-0325 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wildflower Intuitive Center, Llc NPPES

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

WILDFLOWER INTUITIVE CENTER, LLC (NPI 1235774407) is a healthcare organization registered as a clinical in Boise, Idaho and active in the NPI registry since November 2019. The organization lists Corie Sue Cook, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1235774407
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILDFLOWER INTUITIVE CENTER, LLC
Location Address4696 W OVERLAND RD STE 276Boise, ID 83705-2877
Mailing Address4696 W Overland Rd Ste 276Boise, ID 83705-2877 · (208) 722-2200 · Fax (208) 912-0325
Fax(208) 912-0325
Organization SubpartNo
Authorized OfficialCorie Sue CookClinical Director · (208) 722-2200
Enumeration DateNovember 12, 2019
✔ NPI 1235774407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4696 W OVERLAND RD STE 276, Boise, ID 83705

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Wildflower Intuitive Center, 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 Wildflower Intuitive Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1487711305
16 12 AVE S SUITE 103
Nampa, ID 83704
(208) 461-3720
✔ PECOS17 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 Wildflower Intuitive Center, LLC's NPI number?

The NPI number for Wildflower Intuitive Center, LLC is 1235774407. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Wildflower Intuitive Center, LLC located?

Wildflower Intuitive Center, LLC is located at 4696 W Overland Rd Ste 276, Boise, ID 83705. The listed phone number is (208) 722-2200.

What is Wildflower Intuitive Center, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wildflower Intuitive Center, LLC enrolled in Medicare?

Yes. Wildflower Intuitive Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wildflower Intuitive Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wildflower Intuitive Center, 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.

When was this NPI record last updated?

The NPPES record for Wildflower Intuitive Center, LLC was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.