Active NPI
Guiding Stone Therapy and Wellness LLC
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1609423755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GUIDING STONE THERAPY AND WELLNESS LLC
- Practice address
- 10501 Wayzata Blvd Ste 204
Minnetonka, MN 55305-1519 - Phone
- (651) 398-2087
- NPI assigned
- Aug 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Sprole, MSW, LICSW
- Title
- Owner
- Phone
- (612) 915-0595
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
10501 Wayzata Blvd Ste 204
Minnetonka, MN 55305-1519
Mailing address
9641 Washburn Ave S
Bloomington, MN 55431-2460
Phone (612) 915-0595
Other practice location 1
3217 Hennepin Ave Ste 3
Minneapolis, MN 55408-4695
Phone (651) 398-2087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4212 Park Glen Rd
St Louis Park, MN 55416
Phone (540) 413-9563
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Burnsville, MN
- NPI 1770887689
-
- Mental Health Counselor
- Minneapolis, MN
- NPI 1619510245
-
- Marriage & Family Therapist
- Minneapolis, MN
- NPI 1669797593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620777600000",
"number": "1609423755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9641 WASHBURN AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312460",
"telephone_number": "612-915-0595",
"fax_number": "651-925-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 WAYZATA BLVD STE 204",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051519",
"telephone_number": "651-398-2087"
}
],
"practiceLocations": [
{
"address_1": "3217 Hennepin Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554084695",
"country_code": "US",
"telephone_number": "651-398-2087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GUIDING STONE THERAPY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-23",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A",
"authorized_official_last_name": "SPROLE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-915-0595",
"authorized_official_credential": "MSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.