Epona Wellness, LTD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EPONA WELLNESS, LTD

Doing business as

Epona Wellness

Practice address

620 Mendelssohn Ave N Ste 156
Golden Valley, MN 55427-4386

Phone

(763) 373-4187

NPI assigned

Nov 16, 2024

Organization subpart

No

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

Authorized official

Name

Maggie Graham, LICSWNPI 1659957231

Title

Owner, Ceo

Phone

(571) 839-5901

Specialties & licenses 1

Addresses

Other names 1

• Epona Wellness Doing business as

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.

• Maggie Allison Graham, MSW, LICSW

  • Clinical Social Worker
  • Edina, MN
  • NPI 1659957231
  NPD Authorized official

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1114742053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 24TH AVE N UNIT A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554476487",
            "telephone_number": "571-839-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MENDELSSOHN AVE N STE 156",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274386",
            "telephone_number": "763-373-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPONA WELLNESS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "571-839-5901",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epona Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emergency Physicians Professional Association (The Urgency Room - Golden Valley)
• Mary Ellen Emmeck, MA, LMFT
• Empowered Behavioral and Clinical Services LLC
• Endovascular Physicians of Minnesota PLLC (North Star Vascular and Interventional)
• John England
• Mikhail G Epshteyn, PHARM.D.
• Caryn Faith Erickson, OTR/L
• Elise Irene Erickson, DPT
• Katrina Leigh Erickson, OTR/L
• Lynn Annette Erickson, PT

• Community/Behavioral Health Agency in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.