Active NPI
Michelle Marie Winemiller, MA, LMFT
- Marriage & Family Therapist
- Fort Collins, CO
National Provider Identifier
1700178431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2558
- Practice address
- 1160 Laporte Ave
Fort Collins, CO 80521-2422 - Phone
- (507) 244-0222
- Fax
- (970) 821-8466
- NPI assigned
- May 13, 2011
- Last updated
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 2558 | MN | Primary |
Addresses
Primary practice location
1160 Laporte Ave
Fort Collins, CO 80521-2422
Mailing address
1160 Laporte Ave
Fort Collins, CO 80521-2422
Phone (507) 269-9391
Other practice location 1
3265 19th St NW Ste 199
Rochester, MN 55901-6786
Phone (507) 244-0222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2558 | Other | MN | MINNESOTA BOARD OF MARRIAGE AND FAMILY THERAPY LICENSE |
| MFT.0001565 | Other | CO | COLORADO DEPT OF REGULATORY AGENCIES - MFT LICENSE |
Other names 1
- Shelly Winemiller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2558 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oasis for Healing LLC | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Fort Collins, CO
- NPI 1336906684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1700178431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 LAPORTE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212422",
"telephone_number": "507-269-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 LAPORTE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212422",
"telephone_number": "507-244-0222",
"fax_number": "970-821-8466"
}
],
"practiceLocations": [
{
"address_1": "3265 19th St NW Ste 199",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559016786",
"country_code": "US",
"telephone_number": "507-244-0222",
"fax_number": "970-821-8466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINEMILLER",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF MARRIAGE AND FAMILY THERAPY LICENSE",
"identifier": "2558",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPT OF REGULATORY AGENCIES - MFT LICENSE",
"identifier": "MFT.0001565",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLY",
"last_name": "WINEMILLER",
"credential": "LLC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.