Organization Active NPI

Gray Matters Therapy LLC

  • Professional Counselor
  • Winona, MN
National Provider Identifier
1720894710
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRAY MATTERS THERAPY LLC
Practice address
102 Walnut St Ste 303
Winona, MN 55987-5641
Phone
(515) 710-4002
NPI assigned
Dec 5, 2024
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Michael Donnenwerth, DPM
Title
Business Manager
Phone
(507) 450-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

102 Walnut St Ste 303
Winona, MN 55987-5641

Mailing address

100 Latsch SQ Ste 203
Winona, MN 55987-2995
Phone (515) 710-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241226000931 MN Part B Supplier - Clinic/Group Practice 4587191903 Receives reassigned benefits from 3 practitioners
Practice locations: Winona, MN

National Provider Directory

National Provider Directory

Locations

100 Latsch Sq
Ste 203
Winona, MN 55987

102 Walnut St
Ste 303
Winona, MN 55987
Phone (515) 710-4002

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1720894710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LATSCH SQ STE 203",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559872995",
            "telephone_number": "515-710-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WALNUT ST STE 303",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875641",
            "telephone_number": "515-710-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY MATTERS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "DONNENWERTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "507-450-7091",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.