Whitney Keltner Wessels, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23464 Issued in MN

Practice address

8530 Eagle Point Blvd Ste 100
Lake Elmo, MN 55042-8648

Phone

(763) 328-0606

Fax

(763) 328-0606

NPI assigned

Jul 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Whit Wonder Wisdom Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Elmo, MN
  • NPI 1689336950

  Clinical

  Medicare reassignment NPD Authorized official
• Whit Wonder Wisdom Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Elmo, MN
  • NPI 1003409814
  NPD Authorized official
• Mindful Way Counseling, LLC

  • Clinical Social Worker
  • Fridley, MN
  • NPI 1336615202
  NPD (past)

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1124646138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 EAGLE POINT BLVD",
            "address_2": "SUITE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "55042",
            "telephone_number": "612-361-9448",
            "fax_number": "563-228-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 EAGLE POINT BLVD STE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428648",
            "telephone_number": "763-328-0606",
            "fax_number": "763-328-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSELS",
        "first_name": "WHITNEY",
        "middle_name": "KELTNER",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "23464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Walter, LPCC, LADC
• John Christian Ward, D.C.
• Cheryl Weber, LICSW
• Wecare at Home LLC
• Joseph C Weinberg, CRNA
• Jennifer Ann Weydert, DDS
• Susan Whalen, LICSW
• Whit Wonder Wisdom Counseling Inc
• Whit Wonder Wisdom Counseling Inc
• Timothy Del Wiertzema, M.A., LMFT

• Clinical Social Worker in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.