Wild Peloria, LLC
NPI 1033902382 · Mental Health Counselor · Clackamas, OR
Wild Peloria, LLC is a Mental Health Counselor organization in Clackamas, OR (NPI 1033902382).
Provider details
- NPI number
- 1033902382
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Watson, Clinical Director(512) 966-4440
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Frequently asked questions
- What is Wild Peloria, LLC's NPI number?
- Wild Peloria, LLC's National Provider Identifier (NPI) is 1033902382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Peloria, LLC?
- Wild Peloria, LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wild Peloria, LLC located?
- Wild Peloria, LLC's practice location on file with NPPES is 12035 Se Grand Vista Dr, Clackamas, OR 97015-8272.
- What is Wild Peloria, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Peloria, LLC is (512) 966-4440.
- Who is the authorized official for Wild Peloria, LLC?
- The authorized official listed on Wild Peloria, LLC's NPPES record is Jamie Watson, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Peloria, LLC's NPI active?
- Yes — Wild Peloria, LLC's NPI (1033902382) is active in the NPPES registry as of the last update on 2025-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.