Wild Magnolia Wellness
NPI 1255820205 · Mental Health Clinic/Center (Including Community Mental Health Center) · Los Ranchos, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wild Magnolia Wellness is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Los Ranchos, NM (NPI 1255820205).
Provider details
- NPI number
- 1255820205
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashley Mckenna, Owner(505) 274-0112
- License
- 0139371 (NM)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 0139371 (NM)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4304 Carlisle Blvd NeAlbuquerque, NM 87107-4811Phone: (505) 433-7561
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Wild Magnolia Wellness's NPI number?
- Wild Magnolia Wellness's National Provider Identifier (NPI) is 1255820205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Magnolia Wellness?
- Wild Magnolia Wellness is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Wild Magnolia Wellness located?
- Wild Magnolia Wellness's practice location on file with NPPES is 6501 4th St Nw Ste H-5, Los Ranchos, NM 87107-5800.
- What is Wild Magnolia Wellness's phone number?
- The practice phone number listed in the NPPES registry for Wild Magnolia Wellness is (505) 274-0112.
- Does Wild Magnolia Wellness accept Medicare?
- Wild Magnolia Wellness 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 Magnolia Wellness?
- The authorized official listed on Wild Magnolia Wellness's NPPES record is Ashley Mckenna, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Magnolia Wellness's NPI active?
- Yes — Wild Magnolia Wellness's NPI (1255820205) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.