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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREGG WAHLSTROM
NPI 1457339012
Marriage & Family Therapist in Burnsville, MN

Active since January 04, 2006
14000 FAIRVIEW DR, BURNSVILLE, MN 55337(952) 993-8608 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Gregg Wahlstrom NPPES

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

GREGG WAHLSTROM (NPI 1457339012) is an individual marriage & family therapist in Burnsville, Minnesota, licensed in Minnesota (194) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1457339012
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGREGG WAHLSTROM
Location Address14000 FAIRVIEW DRBurnsville, MN 55337-5713
Mailing Address6465 Wayzata Blvd, Ste 315Minneapolis, MN 55426-1728
Phone(952) 993-8608
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1457339012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 194
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2420 (MN)
14000 FAIRVIEW DR, Burnsville, MN 55337
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MARTINEZ PT
Physical Therapist
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8521
ETHAN M DEKAM
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
DR. DALE N AKKERMAN M.D.
Obstetrics & Gynecology
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
DR. GEETA L BALKISSOON MB BS
Family Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
LEAH CAROLINE JOHNSON
Physician Assistant
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
ZHEN ZHEN LUO
Internal Medicine
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700
ANGELA NICOLE SCORE
Nurse Practitioner (Gerontology)
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (612) 341-4800
DR. SHEILA J JENKINS M.D.
Pediatrics
14000 FAIRVIEW DR
BURNSVILLE, MN 55337
Dakota County (952) 993-8700

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 Gregg Wahlstrom's NPI number?

The NPI number for Gregg Wahlstrom is 1457339012. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Gregg Wahlstrom located?

Gregg Wahlstrom practices at 14000 Fairview Dr, Burnsville, MN 55337. The listed phone number is (952) 993-8608.

What is Gregg Wahlstrom'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 Gregg Wahlstrom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.