WILD ROOTS COUNSELING LLC
NPI 1790484889
Counselor - Mental Health in Cody, WY

NPI Status: Active since February 27, 2023

Contact Information

337 ROBERT ST
CODY, WY
ZIP 82414
Phone: (307) 899-2492

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  • Organization
  • Counselor
  • Mental Health
  • Accepts Insurance

About WILD ROOTS COUNSELING LLC

This page provides the complete NPI Profile along with additional information for Wild Roots Counseling Llc, a provider established in Cody, Wyoming operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1790484889 assigned on February 2023. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated one year ago. Wild Roots Counseling Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jamaica Santos Moulton Lpc (Owner)

NPI
1790484889
Provider Name
WILD ROOTS COUNSELING LLC
Entity Type
Organization
Location Address
337 ROBERT ST CODY, WY 82414
Location Phone
(307) 899-2492
Mailing Address
PO BOX 2772 CODY, WY 82414
Mailing Phone
(307) 899-2492
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2023
Last Update Date
05-28-2024
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A mental health counselor like Wild Roots Counseling Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

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

JAMAICA SANTOS MOULTON LPC

Authorized Official Title
OWNER
Authorized Official Phone
(307) 254-5048

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
1326474156MEDICAID (05)WY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790484889
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180888816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 8 + 8 + 8 + 8 + 1 + 6 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 99

The NPI number 1790484889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003432477 ALEXANDER RETTINGHOUSE
Individual
Counselor337 ROBERT ST
CODY, WY 82414
(307) 250-1224
1891494266 JAMIE LOREN ESPELAND
Individual
Counselor (Mental Health)337 ROBERT ST
CODY, WY 82414
(307) 899-2492
1871937615MR. CHRISTOPHER E SAVILLE M.S., LPC
Individual
Counselor (Professional)337 ROBERT ST
CODY, WY 82414
(307) 250-2002
1598512097HEALING PATH COUNSELING, LLC
Organization
Community/Behavioral Health337 ROBERT ST
CODY, WY 82414
(307) 250-2002
1326474156 JAMAICA SANTOS MOULTON LPC
Individual
Counselor (Professional)337 ROBERT ST
CODY, WY 82414
(307) 899-2492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790484889, enumerated in the NPI registry as an "organization" on February 27, 2023

The provider is located at 337 Robert St Cody, Wy 82414 and the phone number is (307) 899-2492

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Mountain Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.