NPIMap

Organization Active NPI

Reflections Counseling PC

Doing business as Changes Counseling and Wellness Center

  • Clinical Social Worker
  • Woodbury, MN
National Provider Identifier
1346665981
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16993 Issued in MN
Legal business name
REFLECTIONS COUNSELING PC
Doing business as
Changes Counseling and Wellness Center
Practice address
1818 Wooddale Dr Ste 110
Woodbury, MN 55125-2947
Phone
(651) 370-8343
NPI assigned
Feb 19, 2014
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Kimberly Ann Poitra, MSW, LICSWNPI 1205092277
Title
President
Phone
(612) 845-0316

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16993 MN Primary
Marriage & Family Therapist 106H00000X 1316 MN

Addresses

Primary practice location

1818 Wooddale Dr Ste 110
Woodbury, MN 55125-2947

Mailing address

1818 Wooddale Dr Ste 110
Woodbury, MN 55125-2947
Phone (612) 845-0316

Other names 1

  • Changes Counseling and Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522000169 MN Part B Supplier - Clinic/Group Practice 3678043445 Receives reassigned benefits from 12 practitioners
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

6053 Hudson Rd
Ste 344
Woodbury, MN 55125
Phone (651) 349-6970

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15600/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1346665981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252947",
            "telephone_number": "612-845-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR STE 110",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252947",
            "telephone_number": "651-370-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "POITRA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-845-0316",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16993",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changes Counseling and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.