Individual provider Active NPI

Willie Winston III, PHD

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1083042261
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00654 Issued in MN
Practice address
393 Dunlap St N Ste 825
Saint Paul, MN 55104-4343
Phone
(651) 587-6423
Fax
(651) 209-3417
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC00654 MN Primary

Addresses

Primary practice location

393 Dunlap St N Ste 825
Saint Paul, MN 55104-4343

Mailing address

393 Dunlap St N Ste 825
Saint Paul, MN 55104-4343
Phone (651) 587-6423

Other practice location 1

1301 7th St E
Saint Paul, MN 55106-4039
Phone (651) 332-5503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

393 Dunlap St N
Suite 825
Saint Paul, MN 55104-4343
Phone (651) 209-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CC00654MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
W. Winston & Associates, LLC PastSince Jul 24, 2022 Accepting new patients

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": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1083042261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 825",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044343",
            "telephone_number": "651-587-6423",
            "fax_number": "651-209-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 825",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044343",
            "telephone_number": "651-587-6423",
            "fax_number": "651-209-3417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 7th St E",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551064039",
            "country_code": "US",
            "telephone_number": "651-332-5503",
            "fax_number": "651-332-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "WILLIE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.