OrganizationActive
Wildly Authentic Counseling, LLC
NPI 1053086793 · Professional Counselor · Jacksonville, FL
Provider details
- NPI number
- 1053086793
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy Schaet, Owner(904) 885-8278
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
12443 San Jose Blvd Ste 202
Jacksonville, FL 32223-8648
Phone: (904) 337-9040
Street-level locationGet directions
Mailing address
630 Kingsley Ave
Orange Park, FL 32073-5465
Registry dates
- Enumerated
- 2021-08-13
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.