Individual provider Active NPI

Crystal A Wuethrich

  • Marriage & Family Therapist
  • Menomonie, WI
National Provider Identifier
1609335926
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
390 Red Cedar St Ste 108
Menomonie, WI 54751-2265
Phone
(612) 217-0584
NPI assigned
Mar 16, 2019
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

390 Red Cedar St Ste 108
Menomonie, WI 54751-2265

Mailing address

11017 Main St
Hewitt, WI 54441-9020
Phone (715) 387-1958

Other practice location 1

11017 Main St
Hewitt, WI 54441-9020
Phone (715) 305-5696

Other practice location 2

730 E 38th St Ste 101
Minneapolis, MN 55407-5218
Phone (612) 217-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260216000776 WI Practitioner - Marriage and Family Therapist 5395225791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

390 Red Cedar St
Suite 108
Menomonie, WI 54751-2771

7525 Mitchell Rd
Suite 215
Eden Prairie, MN 55344-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edges Wellness Center LLC Mental Health CurrentSince Jan 11, 2026 Accepting new patients
Red Maple Counseling LLC Marriage & Family Therapist CurrentSince Nov 9, 2021 Accepting new patients

Locations

730 E 38th St
Ste 101
Minneapolis, MN 55407
Phone (612) 217-0584

11017 Main St
Hewitt, WI 54441
Phone (715) 305-5696

11017 Main St
Ste B
Hewitt, WI 54441

390 Red Cedar St
Ste 108
Menomonie, WI 54751
Phone (612) 217-0584

390 Red Cedar St
Ste 109
Menomonie, WI 54751
Phone (612) 293-6277

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1609335926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 MAIN ST",
            "city": "HEWITT",
            "state": "WI",
            "postal_code": "544419020",
            "telephone_number": "715-387-1958",
            "fax_number": "715-387-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 RED CEDAR ST STE 108",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512265",
            "telephone_number": "612-217-0584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11017 Main St",
            "address_purpose": "LOCATION",
            "city": "Hewitt",
            "state": "WI",
            "postal_code": "544419020",
            "country_code": "US",
            "telephone_number": "715-305-5696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 E 38th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554075218",
            "country_code": "US",
            "telephone_number": "612-217-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUETHRICH",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.