WILD WILLOW THERAPY LLC
NPI 1851102123
Counselor in Rock Springs, WY

Active since January 16, 2025
1022 DIVIDE ST, ROCK SPRINGS, WY 82901(307) 381-6400 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About WILD WILLOW THERAPY LLC

This page provides the complete NPI Profile along with additional information for Wild Willow Therapy Llc, a provider established in Rock Springs, Wyoming operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1851102123 assigned on January 2025. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Laura Mercer Wetzel Ms (Licensed Professional Counselor)

NPI
1851102123 Verify this NPI
Provider Name
WILD WILLOW THERAPY LLC
Entity Type
Organization
Location Address
1022 DIVIDE ST ROCK SPRINGS, WY 82901
Location Phone
(307) 381-6400
Mailing Address
1022 DIVIDE ST ROCK SPRINGS, WY 82901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2025
Last Update Date
01-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LAURA MERCER WETZEL MS

Authorized Official Title
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Phone
(307) 381-6400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1356716930OTHER (01)NPI

Reviews for WILD WILLOW THERAPY LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
1022 DIVIDE ST
ROCK SPRINGS, WY 82901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851102123, enumerated as an "organization" on January 16, 2025.

The provider is located at 1022 DIVIDE ST ROCK SPRINGS, WY 82901 and the phone number is (307) 381-6400.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.