Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Minnetonka Psychology and Wellness

Marriage & Family Therapist in Shorewood, MN · enumerated 2012 · authorized official Roger Ballou, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417204751

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Registry record

Entity type Organization (Type 2)

Legal business name Minnetonka Psychology and Wellness

Other name <Unavail>

Practice address 19765 Highway 7, Suite 203, Shorewood, MN, 55331

Phone (952) 767-0442

Fax (952) 854-1647

Enumeration date Aug 6, 2012

Last updated in NPPES Jul 10, 2014

Taxonomy & classification

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License 1130 (MN) Primary

Authorized official

Name Roger Ballou

Title Co-Owner

Phone (952) 767-0442

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Minnetonka Psychology and Wellness?

Minnetonka Psychology and Wellness is registered in NPPES as a Marriage & Family Therapist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-10.