Integration Psychotherapy and Welln

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

INTEGRATION PSYCHOTHERAPY AND WELLN

Practice address

5353 Wayzata Blvd Ste 202
St Louis Park, MN 55416-1316

Phone

(612) 749-2888

Fax

(763) 432-4073

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Brooke Bell, PSYD, LPNPI 1194190231

Title

Ceo

Phone

(612) 749-2888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jessica Bell, PSYD

  • Counseling Psychologist
  • Minneapolis, MN
  • NPI 1194190231
  NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1942020599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LAUREL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052026",
            "telephone_number": "612-749-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 WAYZATA BLVD STE 202",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161316",
            "telephone_number": "612-749-2888",
            "fax_number": "763-432-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATION PSYCHOTHERAPY AND WELLN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-749-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.