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WILD SPIRIT COUNSELING, LLC
NPI 1609518810
Counselor - Mental Health in Marshalltown, IA

Active since April 08, 2022
15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158(641) 351-4003(641) 243-2115 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2022, Apr 8, 2022 (2 updates tracked since 2022).

About Wild Spirit Counseling, Llc NPPES

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

WILD SPIRIT COUNSELING, LLC (NPI 1609518810) is a healthcare organization registered as a mental health in Marshalltown, Iowa and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Marshalltown and lists Misty Lynn Smith, Therapist, as its authorized official.

NPPES Registry Identity

NPI1609518810
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILD SPIRIT COUNSELING, LLC
Location Address15 E SOUTHRIDGE RDMarshalltown, IA 50158-4550
Mailing Address15 E Southridge RdMarshalltown, IA 50158-4550 · (641) 351-4003
Phone(641) 351-4003
Fax(641) 243-2115
Organization SubpartNo
Authorized OfficialMisty Lynn SmithTherapist · (641) 351-4003
Enumeration DateApril 8, 2022
Last NPPES UpdateJanuary 31, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1609518810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
15 E SOUTHRIDGE RD, Marshalltown, IA 50158
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Secondary Practice Location 1

Location 17 Westwood DrMarshalltown, IA 50158-5193 · Phone (641) 351-4003 · Fax (641) 351-4968

Other Identifiers 1

Other1154742989IA · Individual Npi

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 Spirit Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wild Spirit Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Misty Smith, BA
Mental Health Counselor
NPI 1154742989
15 E SOUTHRIDGE RD
Marshalltown, IA 50158
(641) 351-4003
✔ PECOS✔ Accepts MedicareSame address
Marney Medhaug
Mental Health Counselor
NPI 1184398786
22 N CENTER ST
Marshalltown, IA 50158
(641) 752-2300
✔ PECOS2.2 mi
Taryn Cochenour
Mental Health Counselor
NPI 1295453389
215 4TH AVE SE
Cedar Rapids, IA 52401
(319) 364-1953
✔ PECOS64 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 Spirit Counseling, LLC's NPI number?

The NPI number for Wild Spirit Counseling, LLC is 1609518810. It was assigned to this organization in the NPPES registry on April 8, 2022.

Where is Wild Spirit Counseling, LLC located?

Wild Spirit Counseling, LLC is located at 15 E Southridge Rd, Marshalltown, IA 50158. The listed phone number is (641) 351-4003.

What is Wild Spirit Counseling, LLC's specialty?

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

Is Wild Spirit Counseling, LLC enrolled in Medicare?

Yes. Wild Spirit Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wild Spirit Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Wild Spirit Counseling, 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. Of these, 1 practice at this address and 2 within 10 miles. 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 Spirit Counseling, LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.