Harvest Ridge Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HARVEST RIDGE WELLNESS CENTER

Practice address

300 3Rd Ave SE
Fairfax, MN 55332-4502

Phone

(651) 249-3034

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick Motu

Title

Executive Director

Phone

(651) 249-3034

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1417757329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "city": "FAIRFAX",
            "state": "MN",
            "postal_code": "553324502",
            "telephone_number": "651-249-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE",
            "city": "FAIRFAX",
            "state": "MN",
            "postal_code": "553324502",
            "telephone_number": "651-249-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST RIDGE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "MOTU",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-249-3034"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ebel, LGSW
• Fairfax Community Home Health
• Fairfax Community Home Inc
• Fairfax Medical Clinic PA
• Thomas Frederick Gilles, M.D,
• Denine&Chuck Kay Hellendrung
• Pamela Kaye Munson, LPC
• Jaedan Nachreiner
• Kari Maeland Weikle

• Community/Behavioral Health Agency in Fairfax, MN
• Providers in Fairfax, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.