Crosswinds Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14904 Issued in MN

Legal business name

CROSSWINDS COUNSELING

Practice address

1895 E Co Rd E
White Bear Lake, MN 55110

Phone

(651) 890-6031

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Amy Hertle, LICSWNPI 1376605808

Title

Owner

Phone

(651) 890-6031

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Amy Beth Hertle, L.I.C.S.W., L.P.

  • Clinical Social Worker
  • Shoreview, MN
  • NPI 1376605808
  Medicare reassignment NPD Authorized official
• Natia Wilcek, LICSW

  • Clinical Social Worker
  • Vadnais Heights, MN
  • NPI 1982162707
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1477876993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 E CO RD E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-890-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E CO RD E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "651-890-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWINDS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "HERTLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-890-6031",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "800002130",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Lorraine Cote, RD, LD
• Nathan Edward Covelski, DC
• Kate Alexis Cox, DC
• Melanie Marie Cramblit
• Amber Creel
• Janice K Crowley, D.C.
• Sue Anne Dallman
• Geetha J Damodaran, D.D.S.
• Melissa Danielson, DPT
• Sally Kay Darling, DDS

• Clinical Social Worker in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.