WILD HEART SOCIETY PLLC
NPI 1700344298
Clinic/Center - Adolescent and Children Mental Health in Vancouver, WA

Q: What is Wild Heart Society PLLC's NPI number?

The NPI number for Wild Heart Society PLLC is 1700344298. It was assigned to this organization in the NPPES registry on March 4, 2019.

Q: What is Wild Heart Society PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since March 04, 2019

15604 NE 28TH AVE, VANCOUVER, WA 98686(360) 521-3055 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wild Heart Society Pllc NPPES

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

WILD HEART SOCIETY PLLC (NPI 1700344298) is a healthcare organization registered as an adolescent and children mental health in Vancouver, Washington and active in the NPI registry since March 2019. The organization lists Mackenzie Dunham, Partner/therapist, as its authorized official.

NPPES Registry Identity

NPI1700344298

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameWILD HEART SOCIETY PLLC

Location Address15604 NE 28TH AVEVancouver, WA 98686-1541

Mailing Address15604 Ne 28th AveVancouver, WA 98686-1541

Phone(360) 521-3055

Organization SubpartNo

Authorized OfficialMackenzie DunhamPartner/therapist · (360) 521-3055

Enumeration DateMarch 4, 2019

✔ NPI 1700344298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

15604 NE 28TH AVE, Vancouver, WA 98686

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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 Heart Society PLLC's NPI number?

The NPI number for Wild Heart Society PLLC is 1700344298. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is Wild Heart Society PLLC located?

Wild Heart Society PLLC is located at 15604 NE 28th Ave, Vancouver, WA 98686. The listed phone number is (360) 521-3055.

What is Wild Heart Society PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Wild Heart Society PLLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Wild Heart Society PLLC 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 Heart Society PLLC was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.