WILD ACRES COUNSELING, LLC (NPI# 1346644952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346644952 |
| Entity Type | Organization |
| Organization Name | WILD ACRES COUNSELING, LLC |
| Practice Address |
15489 45th St S Alton MN 55001 |
| Practice Telephone | 6513155254 |
| Mailing Telephone | 6513155254 |
| Enumeration Date | 2014-10-11 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | MRS. KATHY LYN BOISJOLI (OWNER / PRESIDENT) |
| Authorized Official Telephone | 6513155254 |
| Authorized Official Credential | MA, LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1286 | MN | Behavioral Health & Social Service Providers |
| Street Address |
15489 45TH ST S |
| City | ALTON |
| State | MN |
| Zip Code | 55001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930691 | Krista Jo Dorgan | Marriage & Family Therapist | 2217 Vine Street #206, Hudson, WI 55001 | 2017-09-04 |
| 1962870865 | Shana Link | Counselor | 3411 Saint Croix Trail South, Afton, MN 55001 | 2015-09-09 |
| 1518396647 | Lora Jaecks | Marriage & Family Therapist | 3411 S. St. Croix Trail, Afton, MN 55001 | 2013-11-08 |
| 1780828475 | Becky Best-thoresen | Reflexologist | 3121 So. St. Croix Trail, Afton, MN 55001 | 2009-04-24 |
| 1205254927 | Manuel Felix Hernandez | Case Manager/Care Coordinator | 880 E. Idaho, Las Cruces, NM 55001 | 2014-03-31 |
| 1720202443 | Kathleen Ann Feehan-schmidt | Chiropractor | 3343 Saint Croix Trl S, Afton, MN 55001-7301 | 2007-04-12 |
| 1164737383 | Dr Feehan Limited | Clinic/Center | 3343 Saint Croix Trl S, Afton, MN 55001-7301 | 2010-08-12 |
| 1245562263 | Dr Feehan Ltd | Chiropractor | 3343 Saint Croix Trl S, Afton, MN 55001-7301 | 2010-02-01 |
| 1508018482 | The Calla Lily Limited | Chiropractor | 3343 Saint Croix Trl S, Afton, MN 55001-7301 | 2008-10-22 |
| 1225438336 | Lifespan Health Consultants | Clinic/Center | 13299 Hudson Rd S, Afton, MN 55001-9303 | 2014-08-26 |
| Find all providers in zip 55001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376955039 | Randy Fischer | Counselor | 920 Milton Rd, Alton, IL 62002-3172 | 2014-05-28 |
| 1285991307 | Generations Growing Together, Inc | Counselor | 1114 N Alton Blvd, Alton, TX 78573-1030 | 2012-04-13 |
| 1467638403 | Patricia Ann Bradstreet | Counselor | 34 Old Stagecoach Rd, Alton, ME 04468-4332 | 2008-01-19 |
| 1730244104 | Monica Moffet | Counselor | 3390 Fosterburg Rd, Alton, IL 62002-7304 | 2006-12-26 |
| 1366072886 | Tiffany Austin | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-01-23 |
| 1790325801 | Dominique Dietz | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-01-07 |
| 1083163422 | Ashlea Nicole Gernand | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2016-09-27 |
| 1104208495 | Stacy Seitz | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2015-06-23 |
| 1760862783 | Nathan Campo | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2015-06-04 |
| 1477930865 | Tammy Straeter | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2015-05-05 |
| Find all providers in ALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.