Wyatt Coleman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27832 Issued in MN

Practice address

15489 45TH St S
Afton, MN 55001-9681

Phone

(651) 315-5254

Fax

(651) 300-2745

NPI assigned

Jul 22, 2021

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Marie Fleckenstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wild Acres Counseling, LLC

  • Mental Health Counselor
  • Alton, MN
  • NPI 1346644952
  NPD
• Center for Child Abuse Prevention and Treatment

  dba Family Enhancement Center

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1427228709
  NPD (past)
• Washburn Center for Children

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1225136419
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1164095568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15489 45TH ST S",
            "city": "AFTON",
            "state": "MN",
            "postal_code": "550019681",
            "telephone_number": "651-315-5254",
            "fax_number": "651-300-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15489 45TH ST S",
            "city": "AFTON",
            "state": "MN",
            "postal_code": "550019681",
            "telephone_number": "651-315-5254",
            "fax_number": "651-300-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "WYATT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FLECKENSTEIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Afton Home Care Inc (Afton Home Care)
• Alta Consultation Services Inc
• American Spirit, LLC
• Becky Best-Thoresen
• Dr Feehan Limited
• Dr Feehan LTD
• Vickie Lynn Marie Drigans
• Lora Jaecks
• Kelly Kennedy-Johnson, LPCC

• Clinical Social Worker in Afton, MN
• Providers in Afton, 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 Sep 15, 2025; 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.