Ideawell LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

IDEAWELL LLC

Practice address

3106 164TH Ave NW
Andover, MN 55304-2416

Phone

(763) 200-4321

NPI assigned

Sep 19, 2024

Last updated

Sep 19, 2024By 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

James PinsonNPI 1619452224

Title

Owner, LMFT

Phone

(763) 200-4321

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Pinson

  • Marriage & Family Therapist
  • Shoreview, MN
  • NPI 1619452224
  NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1598592859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553040010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 164TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553042416",
            "telephone_number": "763-200-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "PINSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, LMFT",
        "authorized_official_telephone_number": "763-200-4321"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi S Hsieh
• Diana Huffer
• Kelly Hungaski, MS, CCC-SLP
• Jaclyn Anne Hutchins, M.A.
• Dustin Sean Hynes
• Lilia Imgrund, MA, LMFT
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• Marriage & Family Therapist in Andover, MN
• Providers in Andover, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.