Organization Active NPI

Integration Psychotherapy and Wellness PLLC

  • Counseling Psychologist
  • St Louis Park, MN
National Provider Identifier
1306710165
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
INTEGRATION PSYCHOTHERAPY AND WELLNESS PLLC
Practice address
5353 Wayzata Blvd Ste 402
St Louis Park, MN 55416-1345
Phone
(612) 749-2888
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Jessica Bell, PSYD, LPNPI 1194190231
Title
Ceo/Psychologist
Phone
(612) 749-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

5353 Wayzata Blvd Ste 402
St Louis Park, MN 55416-1345

Mailing address

2108 Laurel Ave
Minneapolis, MN 55405-2026
Phone (612) 749-2888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1306710165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LAUREL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052026",
            "telephone_number": "612-749-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 WAYZATA BLVD STE 402",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161345",
            "telephone_number": "612-749-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATION PSYCHOTHERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-749-2888",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.