Organization Active NPI

Guiding Stone Therapy and Wellness LLC

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1609423755
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 12, 2021

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

Authorized official

Name
Kathleen Sprole, MSW, LICSWNPI 1770887689
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20190918003281 MN Part B Supplier - Clinic/Group Practice 3173853066 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis Park, MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.