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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILDFORM THERAPY, PLLC
NPI 1922918176
Counselor - Mental Health in Pueblo, CO

Active since September 10, 2026
201 W 8TH ST STE 880, PUEBLO, CO 81003(719) 215-8347 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Wildform Therapy, Pllc NPPES

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

WILDFORM THERAPY, PLLC (NPI 1922918176) is a healthcare organization registered as a mental health in Pueblo, Colorado and active in the NPI registry since September 2026. The organization lists Kurtis James Rivera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922918176
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILDFORM THERAPY, PLLC
Location Address201 W 8TH ST STE 880Pueblo, CO 81003-3037
Mailing Address201 W 8th St Ste 880Pueblo, CO 81003-3037 · (719) 215-8347
Phone(719) 215-8347
Organization SubpartNo
Authorized OfficialKurtis James RiveraCeo · (719) 215-8347
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1922918176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
201 W 8TH ST STE 880, Pueblo, CO 81003
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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

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 Wildform Therapy, PLLC's NPI number?

The NPI number for Wildform Therapy, PLLC is 1922918176. It was assigned to this organization in the NPPES registry on September 10, 2026.

Where is Wildform Therapy, PLLC located?

Wildform Therapy, PLLC is located at 201 W 8th St Ste 880, Pueblo, CO 81003. The listed phone number is (719) 215-8347.

What is Wildform Therapy, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Wildform Therapy, PLLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.