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WILSON RIDGE LLC
NPI 1427913649
Counselor - Mental Health in Mora, MN

Active since December 19, 2025
1884 MAHOGANY ST, MORA, MN 55051(763) 567-3875 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Ridge Llc NPPES

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

WILSON RIDGE LLC (NPI 1427913649) is a healthcare organization registered as a mental health in Mora, Minnesota and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Dalbo and lists Autumn Wilson, Clinical Counselor, as its authorized official.

NPPES Registry Identity

NPI1427913649
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILSON RIDGE LLC
Location Address1884 MAHOGANY STMora, MN 55051-7111
Mailing Address7145 375th Ave NwDalbo, MN 55017-8403 · (763) 567-3877
Phone(763) 567-3875
Organization SubpartNo
Authorized OfficialAutumn WilsonClinical Counselor · (763) 567-3875
Enumeration DateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1427913649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1884 MAHOGANY ST, Mora, MN 55051
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Secondary Practice Location 1

Location 17145 375th Ave NWDalbo, MN 55017-8403 · Phone (763) 567-3877

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTUMN LYNNE WILSON MA, LPCC
Counselor (Mental Health)
1884 MAHOGANY ST
MORA, MN 55051
Kanabec County (320) 339-9963
MANES FOR CHANGE LLC
Counselor (Professional)
1884 MAHOGANY ST
MORA, MN 55051
Kanabec County (320) 339-9963
KATIE LORRAINE VOSS MA, LPCC
Counselor (Mental Health)
1884 MAHOGANY ST
MORA, MN 55051
Kanabec County (320) 364-3256

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 Wilson Ridge LLC's NPI number?

The NPI number for Wilson Ridge LLC is 1427913649. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Wilson Ridge LLC located?

Wilson Ridge LLC is located at 1884 Mahogany St, Mora, MN 55051. The listed phone number is (763) 567-3875.

What is Wilson Ridge LLC'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 Wilson Ridge LLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.