Organization Active NPI

Wellbeing Psychotherapy, Inc.

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1518224245
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1393 Issued in MN
Legal business name
WELLBEING PSYCHOTHERAPY, INC.
Practice address
2100 First Avenue South
Suite 204
Minneapolis, MN 55404
Phone
(612) 418-5637
Fax
(612) 235-6481
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Susan Thomas-McGregor, M.A., LMFTNPI 1649395732
Title
Owner
Phone
(612) 418-5637

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1393 MN Primary

Addresses

Primary practice location

2100 First Avenue South
Suite 204
Minneapolis, MN 55404

Mailing address

2100 First Avenue South
Suite 204
Minneapolis, MN 55404
Phone (612) 418-5637

Other identifiers 1

IdentifierTypeStateIssuer
A131613300MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Wellbeing Psychotherapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1518224245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FIRST AVENUE SOUTH",
            "address_2": "SUITE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-418-5637",
            "fax_number": "612-235-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FIRST AVENUE SOUTH",
            "address_2": "SUITE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-418-5637",
            "fax_number": "612-235-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS-MCGREGOR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-418-5637",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A131613300",
            "state": "MN"
        }
    ],
    "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 Oct 6, 2016; 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.