NPIMap

Organization Active NPI

Winston Behavioral Healthcare

  • Mental Health Counselor
  • Woodbury, MN
National Provider Identifier
1619434867
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WINSTON BEHAVIORAL HEALTHCARE
Practice address
724 Bielenberg Dr
Woodbury, MN 55125-2620
Phone
(651) 274-1006
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Mrs. Teresa L Winston, LPCCNPI 1174759773
Title
Psychotherapist
Phone
(651) 689-3007

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

724 Bielenberg Dr
Woodbury, MN 55125-2620

Mailing address

3282 York Alcove
Woodbury, MN 55125-2417

Other practice location 1

724 Bielenberg Dr Ste 145
Woodbury, MN 55125-2620
Phone (651) 274-1006

Other names 1

  • Winston Behavioral Healthcare, PSC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522002087 MN Part B Supplier - Clinic/Group Practice 1759723752 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1619434867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 YORK ALCOVE",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252620",
            "telephone_number": "651-274-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Bielenberg Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252620",
            "country_code": "US",
            "telephone_number": "651-274-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINSTON BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "651-689-3007",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Behavioral Healthcare, PSC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winston Behavioral Healthcare, PSC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.