Organization Active NPI

Willow Wellbeing, LLC

  • Registered Dietitian
  • Minneapolis, MN
National Provider Identifier
1750192050
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WILLOW WELLBEING, LLC
Practice address
6417 Penn Ave S Ste 7-1440
Minneapolis, MN 55423-1186
Phone
(763) 233-1298
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Michaeela Brands, RD, LD
Title
Co-Owner
Phone
(763) 233-1298

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6417 Penn Ave S Ste 7-1440
Minneapolis, MN 55423-1186

Mailing address

6417 Penn Ave S Ste 7-1440
Minneapolis, MN 55423-1186

National Provider Directory

National Provider Directory

Locations

6417 Penn Ave S
Ste 71440
Minneapolis, MN 55423
Phone (763) 233-1298

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1750192050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-1440",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 7-1440",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "763-233-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WELLBEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BRANDS",
        "authorized_official_first_name": "MICHAEELA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-233-1298",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.