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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 MAGNOLIA WELLNESS
NPI 1255820205
Community/Behavioral Health in Los Ranchos, NM

Active since May 04, 2018
6501 4TH ST NW STE H-5, LOS RANCHOS, NM 87107(505) 274-0112 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, May 4, 2026, Nov 13, 2023 and 1 more (4 updates tracked since 2018).

About Wild Magnolia Wellness NPPES

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

WILD MAGNOLIA WELLNESS (NPI 1255820205) is a healthcare organization registered as a community/behavioral health in Los Ranchos, New Mexico and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Albuquerque and lists Ashley Susan Mckenna, Owner, as its authorized official.

NPPES Registry Identity

NPI1255820205
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWILD MAGNOLIA WELLNESS
Location Address6501 4TH ST NW STE H-5Los Ranchos, NM 87107-5800
Mailing Address4304 Carlisle Blvd NeAlbuquerque, NM 87107-4811 · (505) 274-0112
Phone(505) 274-0112
Organization SubpartNo
Authorized OfficialAshley Susan MckennaOwner · (505) 274-0112
Enumeration DateMay 4, 2018
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1255820205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NM · 0139371
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6501 4TH ST NW STE H-5, Los Ranchos, NM 87107
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Secondary Practice Location 1

Location 14304 Carlisle Blvd NEAlbuquerque, NM 87107-4811 · Phone (505) 433-7561

Other Identifiers 1

Medicaid69256357NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 Magnolia Wellness's NPI number?

The NPI number for Wild Magnolia Wellness is 1255820205. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Wild Magnolia Wellness located?

Wild Magnolia Wellness is located at 6501 4th St NW Ste H-5, Los Ranchos, NM 87107. The listed phone number is (505) 274-0112.

What is Wild Magnolia Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Wild Magnolia Wellness accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Wild Magnolia Wellness 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 Magnolia Wellness was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.