Individual provider Active NPI

Michelle Marie Winemiller, MA, LMFT

  • Marriage & Family Therapist
  • Fort Collins, CO
National Provider Identifier
1700178431
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2558 Issued in MN
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2558OtherMNMINNESOTA BOARD OF MARRIAGE AND FAMILY THERAPY LICENSE
MFT.0001565OtherCOCOLORADO DEPT OF REGULATORY AGENCIES - MFT LICENSE

Other names 1

  • Shelly Winemiller Professional name

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

LicenseStateTypeSpecialty
2558MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Oasis for Healing LLC Marriage & Family Therapist CurrentSince Mar 12, 2024 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.

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.

Verify at the official NPI Registry.