Organization Active NPI

Little Minds Wellness LLC

  • Clinical Social Worker
  • Shawano, WI
National Provider Identifier
1629915608
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LITTLE MINDS WELLNESS LLC
Practice address
102 E Green Bay St Ste 101
Shawano, WI 54166-2444
Phone
(715) 280-8130
Fax
(715) 280-8138
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Mrs. Amanda Baddmoccosin-Barnes, LCSWNPI 1114592805
Title
Psychotherapist
Phone
(715) 701-0476

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

102 E Green Bay St Ste 101
Shawano, WI 54166-2444

Mailing address

PO Box 115
Wittenberg, WI 54499-0115
Phone (715) 701-0476

Other practice location 1

407 W Vinal St
Wittenberg, WI 54499-9280
Phone (715) 701-0476

National Provider Directory

National Provider Directory

Locations

102 E Green Bay St
#101
Shawano, WI 54166
Phone (715) 280-8130

Practitioners & affiliated clinicians

Practitioners 2

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": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1629915608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544990115",
            "telephone_number": "715-701-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E GREEN BAY ST STE 101",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662444",
            "telephone_number": "715-280-8130",
            "fax_number": "715-280-8138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 W Vinal St",
            "address_purpose": "LOCATION",
            "city": "Wittenberg",
            "state": "WI",
            "postal_code": "544999280",
            "country_code": "US",
            "telephone_number": "715-701-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE MINDS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BADDMOCCOSIN-BARNES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "715-701-0476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "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 Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.