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Wild Souls Ranch

Community/Behavioral Health Agency in Fortuna, CA · enumerated 2025 · authorized official Maya Jimenez-Osell, Executive Direction.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104702570

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Registry record

Entity type Organization (Type 2)
Legal business name Wild Souls Ranch
Practice address 2870 Nelson Ln, Fortuna, CA, 95540
Enumeration date Aug 12, 2025
Last updated in NPPES Oct 15, 2025

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Maya Jimenez-Osell
Title Executive Direction

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Wild Souls Ranch?
The NPI for Wild Souls Ranch is 1104702570, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wild Souls Ranch?
NPPES lists Maya Jimenez-Osell (Executive Direction) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-15.