The Wayside House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE WAYSIDE HOUSE, INC.

Doing business as

Wayside Wellness Center

Practice address

1600 University Ave W Ste 300
Saint Paul, MN 55104-3800

Phone

(651) 242-5540

Fax

(651) 209-6341

NPI assigned

Mar 4, 2015

Organization subpart

Yes

Parent organization

THE WAYSIDE HOUSE, INCAs reported in NPPES

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

Authorized official

Name

Jennifer Wilson

Title

Billing Manager

Phone

(952) 405-7649

Specialties & licenses 1

Addresses

Other names 1

• Wayside Wellness Center Doing business as

Tax ID family

Wayside House Inc3 organizations share this tax ID, including this one

Part of

Wayside House Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Wayside House, Inc

  • Substance Abuse Rehabilitation Facility
  • Saint Louis Park, MN
  • NPI 1235223652
  NPD tax ID
• The Wayside House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
  • NPI 1932413887
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Wayside House, Inc

  • Substance Abuse Rehabilitation Facility
  • Saint Louis Park, MN
  • NPI 1235223652
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Anderson, MPS, LADC

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1558827691
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1861884579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043800",
            "telephone_number": "651-242-5540",
            "fax_number": "651-209-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043800",
            "telephone_number": "651-242-5540",
            "fax_number": "651-209-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAYSIDE HOUSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE WAYSIDE HOUSE, INC",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "952-405-7649"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayside Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.