Active NPI
Wendy Whelihan, PH.D., LMFT
- Marriage & Family Therapist
- Edina, MN
National Provider Identifier
1992780779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1110
- Practice address
- 5200 Willson Rd
Suite 415
Edina, MN 55424-1332 - Phone
- (612) 695-9266
- Fax
- (952) 926-0402
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1110 | MN | Primary |
Addresses
Primary practice location
5200 Willson Rd
Suite 415
Edina, MN 55424-1332
Mailing address
5200 Willson Rd
Suite 415
Edina, MN 55424-1332
Phone (612) 695-9266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051N0WH | Other | MN | BLUE CROSS BLUE SHIELD |
| 118699 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992780779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 WILLSON RD",
"address_2": "SUITE 415",
"city": "EDINA",
"state": "MN",
"postal_code": "554241332",
"telephone_number": "612-695-9266",
"fax_number": "952-926-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 WILLSON RD",
"address_2": "SUITE 415",
"city": "EDINA",
"state": "MN",
"postal_code": "554241332",
"telephone_number": "612-695-9266",
"fax_number": "952-926-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELIHAN",
"first_name": "WENDY",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051N0WH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "118699",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.