WEST LAKE COUNSELING AND WELLNESS, INC (NPI# 1255791745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255791745 |
| Entity Type | Organization |
| Organization Name | WEST LAKE COUNSELING AND WELLNESS, INC |
| Practice Address |
1613 W Wayzata Blvd Ste B Long Lake MN 55356-4103 |
| Mailing Address |
470 County Road 110 N Mound MN 55364-8315 |
| Practice Telephone | 6123862311 |
| Mailing Telephone | 6123862311 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | TARA BAUMAN MIZUHATA (PRESIDENT) |
| Authorized Official Telephone | 6123862311 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
18044 | MN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
18016 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1613 W WAYZATA BLVD STE B |
| City | LONG LAKE |
| State | MN |
| Zip Code | 55356-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497136014 | Brianna B. Hammer | Dentist | 2765 Kelley Parkway, Suite 140, Orono, MN 55356 | 2015-06-10 |
| 1336279926 | Nicholas John Froehling | Chiropractor | 2060 West Wayzata Blvd, Suite 150, Orono, MN 55356 | 2007-03-06 |
| 1871654343 | Thomas Lee Sawyer Jr. | Psychologist | 3405 Co Rd 6, Orono, MN 55356 | 2006-12-12 |
| 1851470314 | Long Lake Assisted Living | Assisted Living Facility | 345 N Brown Rd, Long Lake, MN 55356 | 2006-11-03 |
| 1679678973 | Douglas John Mcnaught | Dentist | 1870 W. Wayzata Blvd., Long Lake, MN 55356 | 2006-09-13 |
| 1245690874 | Diane Pease | Massage Therapist | 2160 W Wayzata Blvd, Long Lake, MN 55356-1100 | 2016-02-24 |
| 1902341589 | Michael Joseph Sherman | Massage Therapist | 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 | 2017-01-05 |
| 1376584656 | Michael W. Schwartz | Chiropractor | 1865 W Wayzata Blvd, Ste 200, Long Lake, MN 55356-4100 | 2006-06-09 |
| 1871025031 | Chirocenter Inc. | Chiropractor | 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356-4100 | 2017-03-28 |
| 1356678122 | Christine Burnell Marston | Psychologist | 810 Willow View Dr, Orono, MN 55356-4302 | 2009-11-15 |
| Find all providers in zip 55356 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255121 | Trizer Smith | Social Worker | 33 Wentworth Ave E Ste 280, West Saint Paul, MN 55118-3432 | 2020-11-06 |
| 1003417262 | Wellness Within Holistic Psychotherapy, Pa | Social Worker | 3960 Saari Rd, Hibbing, MN 55746-8280 | 2020-11-04 |
| 1376144808 | Brianna Heilman | Social Worker | 38431 Lincoln Trl, North Branch, MN 55056-5834 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1922608322 | Kari Ann Steele | Social Worker | 419 6th Ave S, Sartell, MN 56377-2020 | 2020-10-27 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.