Individual provider Active NPI

Ellen Honsa

  • Clinical Psychologist
  • Willmar, MN
National Provider Identifier
1477294262
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP7099 Issued in MN
Practice address
1305 1St St S Ste 2B
Willmar, MN 56201-4248
Phone
(612) 643-0411
Fax
(612) 484-5957
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP7099 MN Primary

Addresses

Primary practice location

1305 1St St S Ste 2B
Willmar, MN 56201-4248

Mailing address

408 4TH Ave NE
Minneapolis, MN 55413-2046
Phone (612) 643-0411

Other practice location 1

408 4th Ave NE
Minneapolis, MN 55413-2046
Phone (612) 643-0411

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241011000580 MN Practitioner - Clinical Psychologist 8325570633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP7099MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Mental Health, LLC Clinical CurrentSince May 1, 2026 Accepting new patients

Locations

1305 1st St S
Ste 2B
Willmar, MN 56201
Phone (612) 643-0411

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1477294262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 4TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132046",
            "telephone_number": "612-643-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 1ST ST S STE 2B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014248",
            "telephone_number": "612-643-0411",
            "fax_number": "612-484-5957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 4th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554132046",
            "country_code": "US",
            "telephone_number": "612-643-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONSA",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP7099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.