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WILD ROOTS COUNSELING LLC
NPI 1790484889
Counselor - Mental Health in Cody, WY

Active since February 27, 2023

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wild Roots Counseling Llc NPPES

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

WILD ROOTS COUNSELING LLC (NPI 1790484889) is a healthcare organization registered as a mental health in Cody, Wyoming and active in the NPI registry since February 2023. The organization lists Jamaica Santos Moulton, Owner, as its authorized official.

NPPES Registry Identity

NPI1790484889
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILD ROOTS COUNSELING LLC
Location Address337 ROBERT STCody, WY 82414-9268
Mailing AddressPo Box 2772Cody, WY 82414-2772 · (307) 899-2492
Phone(307) 899-2492
Organization SubpartNo
Authorized OfficialJamaica Santos MoultonOwner · (307) 254-5048
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1790484889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
337 ROBERT ST, Cody, WY 82414
Open in Google Maps ↗

Other Identifiers 1

Medicaid1326474156WY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 9

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

ALEXANDER RETTINGHOUSE
Counselor
337 ROBERT ST
CODY, WY 82414
Park County (307) 250-1224
ASHLEY R SKATES MSW, LCSW
Social Worker (Clinical)
337 ROBERT ST
CODY, WY 82414
Park County (307) 899-7439
JAMAICA SANTOS MOULTON LPC
Counselor (Professional)
337 ROBERT ST
CODY, WY 82414
Park County (307) 899-2492
ERIC PEARSON LCSW, MSW
Social Worker (Clinical)
337 ROBERT ST
CODY, WY 82414
Park County (307) 578-7690
HEALING PATH COUNSELING, LLC
Community/Behavioral Health
337 ROBERT ST
CODY, WY 82414
Park County (307) 250-2002
KELLY PHILLIPS
Massage Therapist
337 ROBERT ST
CODY, WY 82414
Park County (406) 223-3849
MRS. CHRISTA ERIN ROSSI PPC
Counselor
337 ROBERT ST
CODY, WY 82414
Park County (307) 899-2492
MR. CHRISTOPHER E SAVILLE M.S., LPC
Counselor (Professional)
337 ROBERT ST
CODY, WY 82414
Park County (307) 250-2002

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 Roots Counseling LLC's NPI number?

The NPI number for Wild Roots Counseling LLC is 1790484889. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Wild Roots Counseling LLC located?

Wild Roots Counseling LLC is located at 337 Robert St, Cody, WY 82414. The listed phone number is (307) 899-2492.

What is Wild Roots Counseling LLC's specialty?

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

What insurance does Wild Roots Counseling LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Wild Roots Counseling LLC 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 Roots Counseling LLC was last updated on May 28, 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.