OrganizationActive
Wild Souls Ranch
NPI 1104702570 · Community/Behavioral Health Agency · Fortuna, CA
Wild Souls Ranch is a Community/Behavioral Health Agency organization in Fortuna, CA (NPI 1104702570).
Provider details
- NPI number
- 1104702570
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Maya Jimenez-Osell, Executive Direction(707) 617-0356
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2870 Nelson Ln
Fortuna, CA 95540-1708
Phone: (707) 617-0356
Street-level locationGet directions
Mailing address
2870 Nelson Ln
Fortuna, CA 95540-1708
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Wild Souls Ranch's NPI number?
- Wild Souls Ranch's National Provider Identifier (NPI) is 1104702570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Souls Ranch?
- Wild Souls Ranch is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Wild Souls Ranch located?
- Wild Souls Ranch's practice location on file with NPPES is 2870 Nelson Ln, Fortuna, CA 95540-1708.
- What is Wild Souls Ranch's phone number?
- The practice phone number listed in the NPPES registry for Wild Souls Ranch is (707) 617-0356.
- Who is the authorized official for Wild Souls Ranch?
- The authorized official listed on Wild Souls Ranch's NPPES record is Maya Jimenez-Osell, Executive Direction. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Souls Ranch's NPI active?
- Yes — Wild Souls Ranch's NPI (1104702570) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.