MINNETONKA PSYCHOLOGY AND WELLNESS
NPI 1417204751
Marriage & Family Therapist in Shorewood, MN

Active since August 06, 2012
19765 HIGHWAY 7, SUITE 203, SHOREWOOD, MN 55331(952) 767-0442(952) 854-1647 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Minnetonka Psychology And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNETONKA PSYCHOLOGY AND WELLNESS (NPI 1417204751), doing business as Minnesota Relationship Center, is a healthcare organization registered as a marriage & family therapist in Shorewood, Minnesota and active in the NPI registry since August 2012. The organization lists Roger A. Ballou, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1417204751
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameMINNETONKA PSYCHOLOGY AND WELLNESS
Location Address19765 HIGHWAY 7, SUITE 203Shorewood, MN 55331
Mailing Address19765 Highway 7, Suite 203Shorewood, MN 55331 · (952) 767-0442 · Fax (952) 854-1647
Fax(952) 854-1647
Organization SubpartNo
Authorized OfficialRoger A. BallouCo-owner · (952) 767-0442
Enumeration DateAugust 6, 2012
Last NPPES UpdateJuly 10, 2014
NPI 1417204751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 1130
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
19765 HIGHWAY 7, Shorewood, MN 55331

Other Names 1

Former Legal Business NameMinnesota Relationship Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnetonka Psychology And Wellness's NPI number?

The NPI number for Minnetonka Psychology And Wellness is 1417204751. It was assigned to this organization in the NPPES registry on August 6, 2012. The provider was formerly known as Minnesota Relationship Center.

Where is Minnetonka Psychology And Wellness located?

Minnetonka Psychology And Wellness is located at 19765 Highway 7 Suite 203, Shorewood, MN 55331. The listed phone number is (952) 767-0442.

What is Minnetonka Psychology And Wellness's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Minnetonka Psychology And Wellness was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.