Active NPI
Wild Meadows Counseling PLLC
- Clinical Psychologist
- Hamel, MN
National Provider Identifier
1235797853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- WILD MEADOWS COUNSELING PLLC
- Practice address
- 239 Cherry Hill Alcove
Hamel, MN 55340-9333 - Phone
- (715) 541-2424
- NPI assigned
- May 29, 2019
- Last updated
- May 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Tresness, PHD
- Title
- Licensed Clinical Psychologist
- Phone
- (715) 541-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
239 Cherry Hill Alcove
Hamel, MN 55340-9333
Mailing address
239 Cherry Hill Alcove
Hamel, MN 55340-9333
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559088000000",
"number": "1235797853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 CHERRY HILL ALCOVE",
"city": "HAMEL",
"state": "MN",
"postal_code": "553409333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 CHERRY HILL ALCOVE",
"city": "HAMEL",
"state": "MN",
"postal_code": "553409333",
"telephone_number": "715-541-2424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILD MEADOWS COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A",
"authorized_official_last_name": "TRESNESS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "715-541-2424",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamel, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.