OrganizationActive
Wild Recovery LLC
NPI 1780485854 · Community/Behavioral Health Agency · Fridley, MN
Wild Recovery LLC is a Community/Behavioral Health Agency organization in Fridley, MN (NPI 1780485854).
Provider details
- NPI number
- 1780485854
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tracy Doerr, Ceo/Lpcc/Ladc(612) 201-2280
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
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
1250 Moore Lake Dr E Ste 200
Fridley, MN 55432-5136
Phone: (612) 201-2280
Approximate (ZIP-level) locationGet directions
Mailing address
10464 Hollywood Blvd Nw
Coon Rapids, MN 55433-4517
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Frequently asked questions
- What is Wild Recovery LLC's NPI number?
- Wild Recovery LLC's National Provider Identifier (NPI) is 1780485854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Recovery LLC?
- Wild Recovery LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Wild Recovery LLC located?
- Wild Recovery LLC's practice location on file with NPPES is 1250 Moore Lake Dr E Ste 200, Fridley, MN 55432-5136.
- What is Wild Recovery LLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Recovery LLC is (612) 201-2280.
- Who is the authorized official for Wild Recovery LLC?
- The authorized official listed on Wild Recovery LLC's NPPES record is Tracy Doerr, Ceo/Lpcc/Ladc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Recovery LLC's NPI active?
- Yes — Wild Recovery LLC's NPI (1780485854) is active in the NPPES registry as of the last update on 2026-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.