WENDY WRIGHT MATTERA (NPI# 1699942623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699942623 |
| Entity Type | Individual |
| Full Name | WENDY WRIGHT MATTERA |
| Credential | LPC |
| Practice Address |
5200 Maywood Rd Suite 202 Mound MN 55364-1775 |
| Practice Telephone | 9524722408 |
| Mailing Telephone | 9524722408 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC00621 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5200 MAYWOOD RD SUITE 202 |
| City | MOUND |
| State | MN |
| Zip Code | 55364-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689681298 | Audrey Mae Frederickson | Psychologist | 5200 Maywood Rd, Suite 202, Mound, MN 55364-1775 | 2006-08-03 |
| 1255736930 | Sojourn Adult Day Services LLC | Clinic/Center | 5200 Maywood Rd, Mound, MN 55364-1775 | 2014-10-24 |
| 1730520172 | J M Baldus, Inc | Clinic/Center | 5200 Maywood Rd, Mound, MN 55364-1775 | 2013-07-15 |
| 1972688448 | Juli Diane Teien | Marriage & Family Therapist | 5200 Maywood Rd, Suite 202, Mound, MN 55364-1775 | 2006-10-25 |
| 1356424055 | Daniel Paul Doshan | Psychologist | 5200 Maywood Rd, Mound, MN 55364-1775 | 2006-10-24 |
| 1700973773 | James Michael Baldus | Psychologist | 5200 Maywood Rd, Mound, MN 55364-1775 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1588008924 | Susan Marie Wish Devine | Counselor | 5899 Sunnybrook Ln, Mound, MN 55364-1280 | 2013-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1033718010 | The Way Community Behavioral Wellness Center | Counselor | 7038 Brooklyn Blvd Ste G, Brooklyn Center, MN 55429-1370 | 2020-10-21 |
| 1497354344 | Kaycie Dale | Counselor | 7400 Metro Blvd Ste 100-7, Edina, MN 55439-2316 | 2020-10-21 |
| 1265030134 | Anton Dante Evans | Counselor | 5310 Audobon Ave Apt 304, Inver Grove Heights, MN 55077-1618 | 2020-10-13 |
| 1356949432 | Ives Kenneth Wittman | Counselor | 1828 Jefferson St Ne, Minneapolis, MN 55418-4427 | 2020-10-12 |
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1194331397 | Link Psychotherapy Ltd | Counselor | 4749 Chicago Ave # Ic, Minneapolis, MN 55407-3556 | 2020-09-22 |
| 1538775069 | Cassandra Broll | Counselor | 9382 Oak Ave, Waconia, MN 55387-9422 | 2020-09-21 |
| 1538775143 | Elise Nathalie Meger | Counselor | 3033 Excelsior Blvd Ste 215, Minneapolis, MN 55416-5274 | 2020-09-18 |
| 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.