Wavelengths NW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WAVELENGTHS NW LLC

Practice address

321 W 48TH St
Minneapolis, MN 55419-5417

Phone

(541) 801-3413

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Lindsay Lillstrom, PSYDNPI 1063936144

Title

Psychologist

Phone

(206) 484-6566

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.

• Lindsay Lillstrom

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1063936144
  NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1972474880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 48TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195417",
            "telephone_number": "206-484-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W 48TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195417",
            "telephone_number": "541-801-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11606 Minnetonka Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Hopkins",
            "state": "MN",
            "postal_code": "553055158",
            "country_code": "US",
            "telephone_number": "541-801-3413 x09202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAVELENGTHS NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "LILLSTROM",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "206-484-6566",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C. Watson, D.O.
• Eric Ray Watt, RN
• Mattie Watts, MD
• Seth Martin Watzka, CRNA
• Emma Jane Waugh
• Barbara Jane Waxman, MA, LMFT
• Benjamin J Waxman, PA-C
• Emily Suzanne Wayne, LPCC
• Waynewood & Associates, P.a.
• WD Solutions Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.