Karen Willette, L.P.

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

LP0868 Issued in MN

Practice address

2904 Humboldt Ave S
Minneapolis, MN 55408-1953

Phone

(612) 822-2765

NPI assigned

Feb 11, 2007

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Hachiya Psychological Services

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1477962488
  NPD (past)

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780725713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEWTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052431",
            "telephone_number": "612-381-2413",
            "fax_number": "612-825-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 HUMBOLDT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081953",
            "telephone_number": "612-822-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETTE",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MN",
            "license": "LP0868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita A Willenbring
• Rick Michael Willenbring, D.P.T.
• Molly Willer, PHD
• Kristina Lynn Willers, OT
• Rachel Willert, MA, LPCC
• Kendra Rae Willey, RD, LD
• Jeffrey Peter Willging, M.D.
• Laurie Ann Willhite, PHARMD
• William H Percy LLC
• Wanda Latrice Williams Baugh

• Psychoanalysis Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychoanalysis Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.