NPIMap

Organization Active NPI

Maternal Wellness Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Maple Grove, MN
National Provider Identifier
1114547809
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
Sarah Voeller, LICSWNPI 1063044261
Title
Owner
Phone
(612) 217-2578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6493 Sycamore CT N
Maple Grove, MN 55369-6028

Mailing address

6493 Sycamore CT N
Maple Grove, MN 55369-6028
Phone (612) 217-2578

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest

National Provider Directory

National Provider Directory

Locations

6493 Sycamore Ct N
Maple Grove, MN 55369
Phone (612) 217-2578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.