Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WILD ROOTS COUNSELING
Active
Organization
WILD ROOTS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MARY KILLIAN LCMHC (MENTAL HEALTH THERAPIST)
(602) 999-9565
Entity
Organization
Contact information
Practice address
371 N FRONT ST STE 371-H, WILMINGTON, NC 28401-3908
(980) 819-1037
Mailing address
371 N FRONT ST STE 371-H, WILMINGTON, NC 28401-3908
(602) 999-9565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up