Chelsey Bae Wirtz, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1976 Issued in MN

Practice address

1854 Grand Ave
Saint Paul, MN 55105-1403

Phone

(612) 424-8777

NPI assigned

Jan 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Chelsey Bae Wirtz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1689172249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 EMERSON AVE S APT CN424",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081388",
            "telephone_number": "218-849-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051403",
            "telephone_number": "612-424-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTZ",
        "first_name": "CHELSEY",
        "middle_name": "BAE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "WIRTZ",
            "middle_name": "BAE",
            "prefix": "MS.",
            "credential": "CHELSEY WIRTZ, LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mia Wintheiser, MD
• Michael Howard Wipf, M.D.
• Caden Wippler, DO
• Marie Jennifer Wippler, MD, MPH
• Christine Wirnkar Kila
• Jason John Wirtz, MD
• Wise Spring Mental Health PLLC
• Kassandra Kryston Wiseley, RN
• Jennifer Wiseman, MPS, LADC
• Scott Michael Wisgerhof, LPCC

• Mental Health Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.