NPIMap

Organization Active NPI

Family Service of Winona

  • Psychologist
  • Winona, MN
National Provider Identifier
1710986989
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP0177 Issued in MN
Legal business name
FAMILY SERVICE OF WINONA
Practice address
66 E. 3Rd Street #201
Winona, MN 55987
Phone
(507) 462-7292
Fax
(507) 457-9887
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Diane V. Petz, MS/LPNPI 1003978024
Title
Admin Manager/Therapist
Phone
(507) 452-7292

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP4439 MN
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP4392 MN
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP1219 MN
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP3132 MN
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X LP0177 MN Primary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 8677 MN
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 8882 MN

Addresses

Primary practice location

66 E. 3Rd Street #201
Winona, MN 55987

Mailing address

66 E. 3Rd Street #201
Winona, MN 55987
Phone (507) 462-7292

Other identifiers 5

IdentifierTypeStateIssuer
14809OtherHEALTHPARTNERS
01015397OtherPREFERRED ONE
57490FAOtherBCBS
38076T0OtherBCBS
E341OtherMNUCARE

Other names 1

  • Family Service of Winona - Margaret Simpson Home Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710986989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E. 3RD STREET #201",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "55987",
            "telephone_number": "507-462-7292",
            "fax_number": "507-457-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E. 3RD STREET #201",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "55987",
            "telephone_number": "507-462-7292",
            "fax_number": "507-457-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE OF WINONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PETZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMIN MANAGER/THERAPIST",
        "authorized_official_telephone_number": "507-452-7292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS/LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4439",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4392",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1219",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3132",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0177",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MN",
            "license": "8677",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MN",
            "license": "8882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "14809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01015397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57490FA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38076T0",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "E341",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service of Winona - Margaret Simpson Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.