Organization
WILD ROSE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COLBERT LCSW (OWNER/MANAGER)
(986) 294-0262
Entity
Organization
Contact information
Practice address
330 SHOUP AVE STE 313, IDAHO FALLS, ID 83402-3650
(986) 294-0262
Mailing address
7761 N 55TH E, IDAHO FALLS, ID 83401-5530
(986) 294-0262
(208) 693-9024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/05/2026
Last updated
05/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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