Active NPI
Wendy Florence Rauschke, MA, LPCC
- Professional Counselor
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC03337
- Practice address
- 3100 Kennard St Ste 250
Maplewood, MN 55109-5465 - Phone
- (651) 313-8080
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC03337 | MN | Primary |
Addresses
Primary practice location
3100 Kennard St Ste 250
Maplewood, MN 55109-5465
Mailing address
3100 Kennard St Ste 250
Maplewood, MN 55109-5465
Other names 1
- Wendy Florence Haley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC03337 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Refresh Midwest Operations, SC | Past | Accepting new patients |
Locations
3100 Kennard St
Ste 250
Maplewood, MN 55109
Phone (612) 208-9350
1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447
1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1831749225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 KENNARD ST STE 250",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 KENNARD ST STE 250",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095465",
"telephone_number": "651-313-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUSCHKE",
"first_name": "WENDY",
"middle_name": "FLORENCE",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC03337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "HALEY",
"middle_name": "FLORENCE",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.