Wild Heron PLLC
NPI 1104636968 · Mental Health Clinic/Center (Including Community Mental Health Center) · Gunnison, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wild Heron PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Gunnison, CO (NPI 1104636968).
Provider details
- NPI number
- 1104636968
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eliza Wicks-Arshack, Owner, Therapist(917) 664-6582
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- 2025-01-13
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Frequently asked questions
- What is Wild Heron PLLC's NPI number?
- Wild Heron PLLC's National Provider Identifier (NPI) is 1104636968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Heron PLLC?
- Wild Heron PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Wild Heron PLLC located?
- Wild Heron PLLC's practice location on file with NPPES is 38169 US Highway 50, Gunnison, CO 81230-8730.
- What is Wild Heron PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Heron PLLC is (917) 664-6582.
- Does Wild Heron PLLC accept Medicare?
- Wild Heron PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wild Heron PLLC?
- The authorized official listed on Wild Heron PLLC's NPPES record is Eliza Wicks-Arshack, Owner, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Heron PLLC's NPI active?
- Yes — Wild Heron PLLC's NPI (1104636968) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.