Wild Roots Counseling LLC
NPI 1790484889 · Mental Health Counselor · Cody, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wild Roots Counseling LLC is a Mental Health Counselor organization in Cody, WY (NPI 1790484889).
Provider details
- NPI number
- 1790484889
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jamaica Moulton, Owner(307) 254-5048
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-02-27
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Frequently asked questions
- What is Wild Roots Counseling LLC's NPI number?
- Wild Roots Counseling LLC's National Provider Identifier (NPI) is 1790484889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Roots Counseling LLC?
- Wild Roots Counseling LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wild Roots Counseling LLC located?
- Wild Roots Counseling LLC's practice location on file with NPPES is 337 Robert St, Cody, WY 82414-9268.
- What is Wild Roots Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Roots Counseling LLC is (307) 899-2492.
- Does Wild Roots Counseling LLC accept Medicare?
- Wild Roots Counseling LLC 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 Roots Counseling LLC?
- The authorized official listed on Wild Roots Counseling LLC's NPPES record is Jamaica Moulton, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Roots Counseling LLC's NPI active?
- Yes — Wild Roots Counseling LLC's NPI (1790484889) is active in the NPPES registry as of the last update on 2024-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.