Organization Active NPI

Tessera Wellness and Therapy PLLC

  • Clinic/Center
  • Minnetonka, MN
National Provider Identifier
1265354807
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TESSERA WELLNESS AND THERAPY PLLC
Practice address
13911 Ridgedale Dr Ste 235
Minnetonka, MN 55305-1716
Phone
(612) 256-9602
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Loni Fagel
Title
Owner
Phone
(612) 256-9602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13911 Ridgedale Dr Ste 235
Minnetonka, MN 55305-1716

Mailing address

13911 Ridgedale Dr Ste 235
Minnetonka, MN 55305-1716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1265354807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 235",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 235",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051716",
            "telephone_number": "612-256-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSERA WELLNESS AND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "FAGEL",
        "authorized_official_first_name": "LONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-256-9602"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.