Active NPI
Barbara Wormington
- Mental Health Counselor
- Maple Grove, MN
National Provider Identifier
1043074131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2935
- Practice address
- 10650 County Road 81 Ste N
Maple Grove, MN 55369-7598 - Phone
- (417) 529-3250
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2935 | MN | Primary |
Addresses
Primary practice location
10650 County Road 81 Ste N
Maple Grove, MN 55369-7598
Mailing address
10650 County Road 81 Ste N
Maple Grove, MN 55369-7598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2935 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Lisa E-Therapy | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- barbara.wormington@489656322949124.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1043074131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10650 COUNTY ROAD 81 STE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 COUNTY ROAD 81 STE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697598",
"telephone_number": "417-529-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORMINGTON",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "2935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.