NPIMap

Organization Active NPI

Center for Women's Group Therapy

  • Professional Counselor
  • Minnetonka, MN
National Provider Identifier
1831576453
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC0021 Issued in MN
Legal business name
CENTER FOR WOMEN'S GROUP THERAPY
Practice address
11900 Wayzata Blvd
Ste 200
Minnetonka, MN 55305-2031
Phone
(612) 701-0066
Fax
(952) 546-1308
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Ilise Katz, LPCCNPI 1366510885
Title
Gen PTR
Phone
(612) 701-0066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X CC0021 MN Primary

Addresses

Primary practice location

11900 Wayzata Blvd
Ste 200
Minnetonka, MN 55305-2031

Mailing address

3754 Pleasant Ave
Ste 205
Minneapolis, MN 55409-1279
Phone (612) 802-1405

National Provider Directory

National Provider Directory

Locations

11900 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (952) 270-4040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1831576453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3754 PLEASANT AVE",
            "address_2": "STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091279",
            "telephone_number": "612-802-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 WAYZATA BLVD",
            "address_2": "STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553052031",
            "telephone_number": "612-701-0066",
            "fax_number": "952-546-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WOMEN'S GROUP THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "ILISE",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "612-701-0066",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.