Wholehearted Healing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WHOLEHEARTED HEALING LLC

Practice address

15600 Wayzata Blvd Ste 209
Wayzata, MN 55391-1437

Phone

(612) 351-7576

Fax

(651) 383-4544

NPI assigned

Nov 20, 2020

Last updated

Apr 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Poferl

Title

Office Manager

Phone

(612) 351-7576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 22

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.

• Hannah Blaha, MS, LPCC

  • Mental Health Counselor
  • Stillwater, MN
  • NPI 1295404325
  Medicare reassignment Care Compare group NPD
• Amber Nicole Egdorf, MA, LADC, LPCC

  • Professional Counselor
  • Saint Paul, MN
  • NPI 1780120378
  Medicare reassignment Care Compare group NPD
• Michael Albert Weitekamp

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1326644352
  Medicare reassignment Care Compare group NPD
• Blake Bender, MA, LMFT

  • Marriage & Family Therapist
  • Stillwater, MN
  • NPI 1639848088
  Medicare reassignment NPD
• Eden Broberg, MA

  • Mental Health Counselor
  • Stillwater, MN
  • NPI 1265190474
  Medicare reassignment NPD
• Elizabeth McMillen Campbell

  • Marriage & Family Therapist
  • Stillwater, MN
  • NPI 1003684036
  Medicare reassignment NPD
• Stephanie Summer Kalliman

  • Marriage & Family Therapist
  • Stillwater, MN
  • NPI 1083133540

  Single Specialty

  Medicare reassignment NPD
• Maggie Meyers, M.A., LPCC

  • Professional Counselor
  • Saint Paul, MN
  • NPI 1669861977
  Medicare reassignment NPD
• Carley Tolman Saravia, LPCC

  • Mental Health Counselor
  • Stillwater, MN
  • NPI 1578338745
  Medicare reassignment NPD
• Jennifer Lynn Wolf Burg, RD

  • Registered Dietitian
  • Saint Paul, MN
  • NPI 1104304245
  NPD (past)
• Angela Hattie Buzay, MA

  • Mental Health Counselor
  • Wayzata, MN
  • NPI 1851242614
  NPD (past)
• Brooke Carlson

  • Professional Counselor
  • Wayzata, MN
  • NPI 1366096356
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1255934196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 WAYZATA BLVD STE 209",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911437",
            "telephone_number": "612-351-7576",
            "fax_number": "651-383-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 WAYZATA BLVD STE 209",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911437",
            "telephone_number": "612-351-7576",
            "fax_number": "651-383-4544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Blackshire Path",
            "address_purpose": "LOCATION",
            "city": "Inver Grove Heights",
            "state": "MN",
            "postal_code": "550761618",
            "country_code": "US",
            "telephone_number": "612-351-7576",
            "fax_number": "651-383-4544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Northwestern Ave S Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827520",
            "country_code": "US",
            "telephone_number": "612-351-7576",
            "fax_number": "651-383-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLEHEARTED HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "POFERL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-351-7576"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Paul Wellman, MA, LPCC
• Patrick Wenk
• West Lake Family Services
• Simona Rae Whiley, CMT
• Whole Brain Healing Therapy
• Wick Psychotherapy
• Paul Eugene Wicklund, M.D.
• Cassandra Wilder, NMD
• Ella May Windel
• Patricia M Winters, OD

• Mental Health Counselor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.