Individual provider Active NPI

Shannon Wohlman, MA, LMFT, LSW

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1932616893
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509
Phone
(651) 456-8494
NPI assigned
Jan 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MN Primary

Addresses

Primary practice location

14665 Galaxie Ave Ste 140
Apple Valley, MN 55124-4509

Mailing address

13116 Pine Ridge Rd
Burnsville, MN 55337-3862
Phone (218) 340-4896

Other practice location 1

101 W Burnsville Pkwy Ste 207
Burnsville, MN 55337-0010
Phone (952) 686-6966

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208003087 MN Practitioner - Marriage and Family Therapist 5496126849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iris Mental Health, LLCGroup PAC ID 2365895844, 7 clinicians

Practice addresses (Care Compare)

14665 Galaxie Ave
Suite 140
Apple Valley, MN 55124-4509
Phone (651) 456-8494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2899MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Mental Health, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

14665 Galaxie Ave
Ste 130
Apple Valley, MN 55124
Phone (651) 456-8494

14665 Galaxie Ave
Ste 140
Apple Valley, MN 55124
Phone (651) 456-8494

101 W Burnsville Pkwy
Ste 207
Burnsville, MN 55337
Phone (612) 548-4266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1932616893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 PINE RIDGE RD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373862",
            "telephone_number": "218-340-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 GALAXIE AVE STE 140",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244509",
            "telephone_number": "651-456-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Burnsville Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553370010",
            "country_code": "US",
            "telephone_number": "952-686-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOHLMAN",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.