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WILD LIFE COMMUNITY COUNSELING PLLC
NPI 1699413757
Social Worker - Clinical in Bonners Ferry, ID

Active since May 26, 2022
264 BLACK MOUNTAIN RD, BONNERS FERRY, ID 83805(208) 416-3850 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2023, May 26, 2022 (2 updates tracked since 2022).

About Wild Life Community Counseling Pllc NPPES

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

WILD LIFE COMMUNITY COUNSELING PLLC (NPI 1699413757) is a healthcare organization registered as a clinical in Bonners Ferry, Idaho and active in the NPI registry since May 2022. The organization lists Dean Michael Jennings, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1699413757
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILD LIFE COMMUNITY COUNSELING PLLC
Location Address264 BLACK MOUNTAIN RDBonners Ferry, ID 83805-5308
Mailing AddressPo Box 172Bonners Ferry, ID 83805-0172 · (208) 416-3850
Phone(208) 416-3850
Organization SubpartNo
Authorized OfficialDean Michael JenningsLcsw · (208) 416-3850
Enumeration DateMay 26, 2022
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1699413757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
264 BLACK MOUNTAIN RD, Bonners Ferry, ID 83805
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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 Life Community Counseling Pllc 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 Life Community Counseling PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dean Jennings, LCSW
Clinical Social Worker
NPI 1831524537
264 BLACK MOUNTAIN RD
Bonners Ferry, ID 83805
(208) 416-3850
✔ PECOS✔ Accepts MedicareSame address

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 Life Community Counseling PLLC's NPI number?

The NPI number for Wild Life Community Counseling PLLC is 1699413757. It was assigned to this organization in the NPPES registry on May 26, 2022.

Where is Wild Life Community Counseling PLLC located?

Wild Life Community Counseling PLLC is located at 264 Black Mountain Rd, Bonners Ferry, ID 83805. The listed phone number is (208) 416-3850.

What is Wild Life Community Counseling PLLC's specialty?

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

Is Wild Life Community Counseling PLLC enrolled in Medicare?

Yes. Wild Life Community Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wild Life Community Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wild Life Community Counseling PLLC. 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 Life Community Counseling PLLC was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.