Vonna P Wala

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1010 Issued in MN

Practice address

7300 147TH St W
#204
Apple Valley, MN 55124-7541

Phone

(952) 997-3020

NPI assigned

Sep 10, 2008

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1760631071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW",
            "address_2": "SUITE 110",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W",
            "address_2": "#204",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "952-997-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALA",
        "first_name": "VONNA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlan Vossen, MD
• Leah Wachter, LADC
• Clayton Thomas Wagner
• Shelley Nelson Wakefield, D.D.S.
• Wal-Mart Stores, Inc. (Vision Center 30-2642)
• Walgreen Co (Walgreens #09727)
• Walgreen Co (Walgreens #02661)
• Coreen Kim Anderson Walker, LADC
• Walmart Inc. (Walmart Pharmacy 10-2642)
• Jacqueline Walz

• Marriage & Family Therapist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.