Healing Waters Recovery Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2007 Issued in MN

Legal business name

HEALING WATERS RECOVERY COUNSELING

Practice address

6954 W 84TH St
Bloomington, MN 55438-1159

Phone

(952) 393-1987

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Matthew James Zamastil, LMFT

Title

Owner

Phone

(952) 393-1987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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

• Adam Lee Gatzke

  • Mental Health Counselor
  • Golden Valley, MN
  • NPI 1053670059
  Medicare reassignment Care Compare group NPD
• Mishawn Gudipati, LAMFT

  • Marriage & Family Therapist
  • Edina, MN
  • NPI 1861181240
  Medicare reassignment Care Compare group NPD
• Heather Leigh Dona, DC

  • Mental Health Counselor
  • Edina, MN
  • NPI 1902256506
  NPD
• Tram-Anh Weinacht, LMFT

  • Marriage & Family Therapist
  • Edina, MN
  • NPI 1841909850
  NPD

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1881046258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6954 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381159",
            "telephone_number": "952-393-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6954 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381159",
            "telephone_number": "952-393-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS RECOVERY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "ZAMASTIL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-393-1987",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel L Haycraft, MD
• Amy Haynes, DPT, PT
• Aisha Hayow
• Emily Sue Haywood, ATC
• Healing Home Healthcare, LLC
• Healthgrouphomecare LLC
• Healthpartners Health Promotion Department
• Healthpartners Worksite Health
• Healthpoint Oriental Medicine, LLC
• Healthy for Life Family Wellness Chiropractic, P.a.

• Community/Behavioral Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.