OrganizationActive
Wildwood Therapy Collective LLC
NPI 1831989482 · Mental Health Counselor · Gibsonia, PA
Provider details
- NPI number
- 1831989482
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jacob Edmondson, Owner(802) 522-9211
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 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
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
4032 Ewalt Rd
Gibsonia, PA 15044-9534
Phone: (802) 522-9211
Street-level locationGet directions
Mailing address
4032 Ewalt Rd
Gibsonia, PA 15044-9534
Additional practice locations (1)
- 11676 Perry Hwy Ste 2205Wexford, PA 15090-7201Phone: (802) 522-9211
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.