Individual provider Active NPI

William Joseph Wright, LMFT

  • Marriage & Family Therapist
  • Maplewood, MN
National Provider Identifier
1962712711
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2663 Issued in MN
Practice address
2103 County Road D E Ste B
Maplewood, MN 55109-5358
Phone
(651) 748-5019
Fax
(651) 773-7591
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 2663 MN Primary

Addresses

Primary practice location

2103 County Road D E Ste B
Maplewood, MN 55109-5358

Mailing address

2103 County Road D E Ste B
Maplewood, MN 55109-5358
Phone (651) 748-5019

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
I20240314000058 MN Practitioner - Marriage and Family Therapist 6002252988 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
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

2103 County Rd D E
Suite B
Maplewood, MN 55109-5358
Phone (651) 748-5019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
West Central Counseling LLC Mental Health PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

2103 County Road D E
Ste B
Saint Paul, MN 55109
Phone (651) 383-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1962712711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 COUNTY ROAD D E STE B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095358",
            "telephone_number": "651-748-5019",
            "fax_number": "651-773-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 COUNTY ROAD D E STE B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095358",
            "telephone_number": "651-748-5019",
            "fax_number": "651-773-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.