WILDWOOD THERAPY COLLECTIVE LLC
NPI 1831989482
Counselor - Mental Health in Gibsonia, PA
About Wildwood Therapy Collective Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDWOOD THERAPY COLLECTIVE LLC (NPI 1831989482) is a healthcare organization registered as a mental health in Gibsonia, Pennsylvania and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Wexford and lists Jacob Edmondson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wildwood Therapy Collective 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 Wildwood Therapy Collective 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 Wildwood Therapy Collective LLC's NPI number?
The NPI number for Wildwood Therapy Collective LLC is 1831989482. It was assigned to this organization in the NPPES registry on May 7, 2025.
Where is Wildwood Therapy Collective LLC located?
Wildwood Therapy Collective LLC is located at 4032 Ewalt Rd, Gibsonia, PA 15044. The listed phone number is (802) 522-9211.
What is Wildwood Therapy Collective LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Wildwood Therapy Collective LLC enrolled in Medicare?
Yes. Wildwood Therapy Collective LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wildwood Therapy Collective LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wildwood Therapy Collective 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.
When was this NPI record last updated?
The NPPES record for Wildwood Therapy Collective LLC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Wildwood Therapy Collective Llc · NPI 1831989482
Mental Health organization in Gibsonia, Pennsylvania. Organization record, active in the CMS NPPES registry since May 7, 2025.
## Identity
- **NPI:** 1831989482 (Entity type: Organization)
- **Enumerated:** May 7, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jacob Edmondson, OWNER
## Practice location
- **Address:** 4032 EWALT RD, Gibsonia, PA 15044-9534
- **Phone:** (802) 522-9211
## 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:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831989482) · Data from the CMS NPPES public registry.