Individual provider Active NPI

Dorothy Eleanor Wintz, MA, LP

  • Clinical Psychologist
  • Burnsville, MN
National Provider Identifier
1114942950
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3455 Issued in MN
Practice address
1500 McAndrews Rd W Ste 201
Burnsville, MN 55337-4445
Phone
(952) 892-8495
Fax
(952) 892-8496
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP3455 MN Primary

Addresses

Primary practice location

1500 McAndrews Rd W Ste 201
Burnsville, MN 55337-4445

Mailing address

1500 McAndrews Rd W Ste 201
Burnsville, MN 55337-4445
Phone (952) 892-8495

Other names 1

  • Dorothy Eleanor Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103000370 MN Practitioner - Clinical Psychologist 5991078347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bachmann and Associates IncGroup PAC ID 0749271781, 22 clinicians

Practice addresses (Care Compare)

150 E Travelers TRL
Burnsville, MN 55337-6889
Phone (952) 892-8495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP3455MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bachmann and Associates, Inc. Dba Counseling Care CurrentSince Mar 7, 2024 Accepting new patients
Bachmann and Associates, Inc CurrentSince Mar 7, 2024 Accepting new patients

Locations

150 E Travelers Trl
Ste G
Burnsville, MN 55337
Phone (952) 892-8459

1500 McAndrews Rd W
Ste 201
Burnsville, MN 55337
Phone (952) 892-8495

8669 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 379-0444

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114942950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 201",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374445",
            "telephone_number": "952-892-8495",
            "fax_number": "952-892-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W STE 201",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374445",
            "telephone_number": "952-892-8495",
            "fax_number": "952-892-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTZ",
        "first_name": "DOROTHY",
        "middle_name": "ELEANOR",
        "credential": "MA, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "ANDERSON",
            "middle_name": "ELEANOR",
            "credential": "MA, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.