Wild Life Community Counseling PLLC
NPI 1699413757 · Clinical Social Worker · Bonners Ferry, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wild Life Community Counseling PLLC is a Clinical Social Worker organization in Bonners Ferry, ID (NPI 1699413757).
Provider details
- NPI number
- 1699413757
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dean Jennings, Lcsw(208) 416-3850
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Frequently asked questions
- What is Wild Life Community Counseling PLLC's NPI number?
- Wild Life Community Counseling PLLC's National Provider Identifier (NPI) is 1699413757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Life Community Counseling PLLC?
- Wild Life Community Counseling PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wild Life Community Counseling PLLC located?
- Wild Life Community Counseling PLLC's practice location on file with NPPES is 264 Black Mountain Rd, Bonners Ferry, ID 83805-5308.
- What is Wild Life Community Counseling PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Life Community Counseling PLLC is (208) 416-3850.
- Does Wild Life Community Counseling PLLC accept Medicare?
- Wild Life Community Counseling 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 Life Community Counseling PLLC?
- The authorized official listed on Wild Life Community Counseling PLLC's NPPES record is Dean Jennings, Lcsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Life Community Counseling PLLC's NPI active?
- Yes — Wild Life Community Counseling PLLC's NPI (1699413757) is active in the NPPES registry as of the last update on 2023-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.