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WILDFLOWER MENTAL HEALTH PLLC
NPI 1710751607
Social Worker - Clinical in Bismarck, ND

Active since November 10, 2023
919 S 7TH ST STE 401, BISMARCK, ND 58504(701) 751-1579(701) 401-0115 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Nov 10, 2023 (2 updates tracked since 2023).

About Wildflower Mental Health Pllc NPPES

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

WILDFLOWER MENTAL HEALTH PLLC (NPI 1710751607) is a healthcare organization registered as a clinical in Bismarck, North Dakota and active in the NPI registry since November 2023. The organization lists Amanda Kouba, Owner, as its authorized official.

NPPES Registry Identity

NPI1710751607
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWILDFLOWER MENTAL HEALTH PLLC
Location Address919 S 7TH ST STE 401Bismarck, ND 58504-5835
Mailing Address919 S 7th St Ste 401Bismarck, ND 58504-5835 · (701) 751-1579 · Fax (701) 401-0115
Phone(701) 751-1579
Fax(701) 401-0115
Organization SubpartNo
Authorized OfficialAmanda KoubaOwner · (701) 699-4052
Enumeration DateNovember 10, 2023
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1710751607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
919 S 7TH ST STE 401, Bismarck, ND 58504
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildflower Mental Health 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 Wildflower Mental Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Kouba, LCSW
Clinical Social Worker
NPI 1528577814
919 S 7TH ST STE 401
Bismarck, ND 58504
(000) 000-0000
✔ 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 Wildflower Mental Health PLLC's NPI number?

The NPI number for Wildflower Mental Health PLLC is 1710751607. It was assigned to this organization in the NPPES registry on November 10, 2023.

Where is Wildflower Mental Health PLLC located?

Wildflower Mental Health PLLC is located at 919 S 7th St Ste 401, Bismarck, ND 58504. The listed phone number is (701) 751-1579.

What is Wildflower Mental Health PLLC's specialty?

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

Is Wildflower Mental Health PLLC enrolled in Medicare?

Yes. Wildflower Mental Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wildflower Mental Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wildflower Mental Health 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.

What insurance does Wildflower Mental Health PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Wildflower Mental Health 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 Wildflower Mental Health PLLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.