WILSON RIDGE LLC – NPI #1427913649
Counselor

WILSON RIDGE LLC is a counselor located in MORA, MN. NPPES has assigned the NPI number 1427913649 to WILSON RIDGE LLC on December 19, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 101YM0800X from the Health Care Provider Taxonomy code set, which is classified as Counselor, specializing in Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILSON RIDGE LLC below.

NPI Profile for
WILSON RIDGE LLC

NPI Number
1427913649
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILSON RIDGE LLC
Primary location
1884 MAHOGANY ST
MORA, MN 55051-7111
Phone: (763) 567-3875 Fax:
1 Other location(s):
7145 375th Ave NW
Dalbo, MN 55017-8403
Phone: (763) 567-3877
Mailing address
7145 375TH AVE NW
DALBO, MN 55017-8403
Phone: (763) 567-3877 Fax:
Organization Subpart
No
Authorized Official
AUTUMN WILSON
CLINICAL COUNSELOR
Phone: (763) 567-3875
Updated
Certification Date
Dec 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
101YM0800X
- Counselor / Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.