Organization Active NPI

Your Story Matters Counseling

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1396424446
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUR STORY MATTERS COUNSELING
Practice address
6417 Penn Ave S Ste 7-1055
Minneapolis, MN 55423-1186
Phone
(218) 332-4771
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Shannon Martina Rapalo Medina, LICSWNPI 1104531458
Title
Owner
Phone
(612) 293-0635

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6417 Penn Ave S Ste 7-1055
Minneapolis, MN 55423-1186

Mailing address

500 W Silver Spring Dr Ste K320
Milwaukee, WI 53217-0001
Phone (218) 332-4771

Other practice location 1

500 W Silver Spring Dr Ste K320
Milwaukee, WI 53217-0001
Phone (218) 332-4771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230925001859 MN Part B Supplier - Clinic/Group Practice 2668826637 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN
O20260528002062 WI Part B Supplier - Clinic/Group Practice 2668826637 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

6417 Penn Ave S
Ste 71055
Minneapolis, MN 55423
Phone (218) 332-4771

1250 Moore Lake Dr E
Ste 205D
Minneapolis, MN 55432
Phone (612) 293-0635

5404 N Lovers Lane Rd
Ste 10
Milwaukee, WI 53225
Phone (218) 332-4771

Practitioners & affiliated clinicians

Practitioners 3

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": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1396424446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SILVER SPRING DR STE K320",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532170001",
            "telephone_number": "218-332-4771",
            "fax_number": "612-486-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-1055",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "218-332-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Silver Spring Dr Ste K320",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532170001",
            "country_code": "US",
            "telephone_number": "218-332-4771",
            "fax_number": "612-486-7103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR STORY MATTERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "RAPALO MEDINA",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-293-0635",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.