WILD ROOTS COUNSELING LLC
NPI 1790484889
Counselor - Mental Health in Cody, WY
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
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted 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)
Wild Roots Counseling Llc 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 Roots Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Wild Roots Counseling LLC enrolled in Medicare?
Yes. Wild Roots Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wild Roots Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wild Roots 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Wild Roots Counseling Llc · NPI 1790484889
Mental Health organization in Cody, Wyoming. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1790484889 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jamaica Moulton, OWNER
## Practice location
- **Address:** 337 ROBERT ST, Cody, WY 82414-9268
- **Phone:** (307) 899-2492
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
- **Other identifiers:** Medicaid 1326474156 (WY)
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Source: [NPI Profile](https://npiprofile.com/npi/1790484889) · Data from the CMS NPPES public registry.