WILD MAGNOLIA WELLNESS
WILD MAGNOLIA WELLNESS is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1255820205, based in Los Ranchos, NM. It is classified under Mental Health Clinic/Center (Including Community Mental Health Center).
Getting there
The practice address on file is 6501 4TH ST NW STE H-5, Los Ranchos, NM 87107. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0139371 | NM | Mental Health Clinic/Center (Including… primary |
This provider holds licence 0139371 issued in NM. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8729492491
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health (Including Community Mental Health Center) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM0801X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1255820205 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 4, 2018 |
| Last updated | Jun 1, 2026 |
| Status | Active |
| Practice address |
6501 4TH ST NW STE H-5 Los Ranchos, NM 87107 (505) 274-0112 |
| Mailing address |
4304 CARLISLE BLVD NE Albuquerque, NM 87107 |
| Other identifiers |
69256357
(NM) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 8 | 2 | 0 | 2 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 7 | 2 | 0 | 2 | 0 |
Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.