WYLD TRANSFORMATION
NPI 1992578363
Counselor - Professional in Mountain Home, AR
About Wyld Transformation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYLD TRANSFORMATION (NPI 1992578363) is a healthcare organization registered as a professional in Mountain Home, Arkansas and active in the NPI registry since November 2023. The organization lists Holly Skinner, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Wyld Transformation 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 Wyld Transformation, 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 Big Heart Journey Inc's NPI number?
The NPI number for Big Heart Journey Inc is 1992578363. It was assigned to this organization in the NPPES registry on November 6, 2023. The provider is doing business as Wyld Transformation.
Where is Big Heart Journey Inc located?
Big Heart Journey Inc is located at 115 E 5th St, Mountain Home, AR 72653. The listed phone number is (928) 607-5531.
What is Big Heart Journey Inc's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Big Heart Journey Inc enrolled in Medicare?
Yes. Big Heart Journey Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Big Heart Journey Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Big Heart Journey Inc. 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 Big Heart Journey Inc was last updated on August 19, 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.
# Wyld Transformation · NPI 1992578363
Professional organization in Mountain Home, Arkansas. Organization record, active in the CMS NPPES registry since November 6, 2023.
## Identity
- **NPI:** 1992578363 (Entity type: Organization)
- **Enumerated:** November 6, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Legal business name:** Big Heart Journey Inc
- **Organization subpart:** No
- **Authorized official:** Holly Skinner, CREDENTIALING
## Practice location
- **Address:** 115 E 5TH ST, Mountain Home, AR 72653-3811
- **Phone:** (928) 607-5531
## 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:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1992578363) · Data from the CMS NPPES public registry.