Wellness Initiatives, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

16880 Issued in MN

Legal business name

WELLNESS INITIATIVES, LLC

Practice address

11900 Wayzata Blvd Ste 209
Minnetonka, MN 55305-2053

Phone

(952) 406-1090

Fax

(952) 224-5996

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Helen Claire Boy, MSW LICSW LADC SEP

Title

Owner and Sole Proprietor

Phone

(952) 406-1090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan B. Garfield, LISCW, ACSW

  • Clinical Social Worker
  • Minnetonka, MN
  • NPI 1003826348
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1457861544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD STE 209",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052053",
            "telephone_number": "952-406-1090",
            "fax_number": "952-224-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD STE 209",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052053",
            "telephone_number": "952-406-1090",
            "fax_number": "952-224-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS INITIATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "BOY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER  AND SOLE PROPRIETOR",
        "authorized_official_telephone_number": "952-406-1090",
        "authorized_official_credential": "MSW LICSW LADC SEP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "16880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Weintz, LICSW
• Lisa Weir, M.A., LMFT
• Mackenzie C Weisman, DPT
• Dillon Thomas Welch, MD
• Sydney Grace Wellner
• Robert Arthur Wengler, M.D.
• Halbert Wenngatz, MD
• West Metro Psychiatry, PC
• West Side Counseling LLC
• West Side Sober Living (DBA One Twelve)

• Adult Mental Health Clinic/Center in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.