Active NPI
Desiree Wright, LPCC
- Professional Counselor
- Willmar, MN
National Provider Identifier
1821320912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01049
- Practice address
- 1208 Olena Ave
Willmar, MN 56201-4766 - Phone
- (320) 235-0900
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4300-125 | WI | |
| Professional Counselor | 101YP2500X | 01049 | MN | Primary |
Addresses
Primary practice location
1208 Olena Ave
Willmar, MN 56201-4766
Mailing address
1208 Olena Ave
Willmar, MN 56201-4766
Phone (320) 235-0900
Other practice location 1
7251 W North Ave
Wauwatosa, WI 53213-1851
Phone (414) 303-7152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049 | MN | MD | Professional Counselor |
| 4300-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Speciality Health Systems Willmar | Past | Accepting new patients | |
| Community Behavioral Health Hospital-Willmar | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba CBHH-Willmar
- Psychiatric Hospital
- Willmar, MN
- NPI 1699931824
-
- Mental Illness Community Based Residential Treatment Facility
- Willmar, MN
- NPI 1194014134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1821320912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 OLENA AVE",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014766",
"telephone_number": "320-235-0900",
"fax_number": "320-214-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 OLENA AVE",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562014766",
"telephone_number": "320-235-0900"
}
],
"practiceLocations": [
{
"address_1": "7251 W North Ave",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532131851",
"country_code": "US",
"telephone_number": "414-303-7152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "DESIREE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4300-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "01049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.