Maternal Wellness Counseling PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MATERNAL WELLNESS COUNSELING PLLC

Practice address

6493 Sycamore CT N
Maple Grove, MN 55369-6028

Phone

(612) 217-2578

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Sarah Voeller, LICSW

Title

Owner

Phone

(612) 217-2578

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1114547809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6493 SYCAMORE CT N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696028",
            "telephone_number": "612-217-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6493 SYCAMORE CT N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696028",
            "telephone_number": "612-217-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL WELLNESS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "VOELLER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-217-2578",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "EHR system with uses Amazon Web Services (AWS) as the provider:  https://d1.awsstatic.com/whitepapers/compliance/AWS_HIPAA_Compliance_Whitepaper.pdf",
            "address_1": "6493 Sycamore Ct N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553696028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nichole Marie Martinek, LADC
• Jordan Elizabeth Martinson, PT, DPT
• Namara Masese
• Marie Katherine Maslowski, RN
• Marlvetta Alicia Mason
• Matthew P Dale DDS PA
• Kiah Mattson
• Mariah Jo Mattson
• Maxillofacial Imaging LLC
• Josephine Sophia Mazzoni

• Adult Mental Health Clinic/Center in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.