Violet Marie Wurtzberger, MS, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3937 Brown St
Pequot Lakes, MN 56472-3053

Phone

(651) 336-3026

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optimal Brain MN PLLCGroup PAC ID 6709317787, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optimal Brain MN, PLLC

  • Clinical Psychologist
  • Oakdale, MN
  • NPI 1609614957
  Medicare reassignment Care Compare group NPD
• Integrative Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakdale, MN
  • NPI 1396314654
  Medicare reassignment NPD
• Riverrock Counseling LLC

  • Professional Counselor
  • Inver Grove Heights, MN
  • NPI 1932911989

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1396319679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 BROWN ST",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564723053",
            "telephone_number": "218-270-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 BROWN ST",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564723053",
            "telephone_number": "651-336-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZBERGER",
        "first_name": "VIOLET",
        "middle_name": "MARIE",
        "credential": "MS, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Joseph'S Medical Center
• Payden Strange
• Carrie Taylor, PT
• Todd M. Wiedel, O.D., PA
• Todd M Wiedell, O.D.

• Mental Health Counselor in Pequot Lakes, MN
• Providers in Pequot Lakes, 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 Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.