Michelle Wincell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12249 Issued in MN

Legal business name

MICHELLE WINCELL

Doing business as

Spirit of Therapy

Practice address

5009 Excelsior Blvd Ste 130
St Louis Park, MN 55416-3049

Phone

(763) 257-2348

Fax

(612) 722-1983

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Lyn Wincell, LICSW

Title

Owner/Psychotherapist

Phone

(763) 257-2348

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spirit of Therapy Doing business as

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1750589925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 89TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553699513",
            "telephone_number": "763-257-2348",
            "fax_number": "612-722-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD STE 130",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163049",
            "telephone_number": "763-257-2348",
            "fax_number": "612-722-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE WINCELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "WINCELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "763-257-2348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "12249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965524700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit of Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Donsbach Mezzenga, N.P.
• Michael E. Berger PA
• Michael J Nelson D.D.S., PA
• Michael James Krumholz
• Virginia Marie Michel, DPT
• Kyle Peter Michelson, MD
• Carrie Michurski
• Midway Family Services LLC
• Joan Mielke
• Erin Michelle Miers, PSYD

• Clinical Social Worker in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.