Willow Bay Therapy, LLC
NPI 1104354406 · Mental Health Clinic/Center (Including Community Mental Health Center) · Plymouth, MN
Willow Bay Therapy, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Plymouth, MN (NPI 1104354406).
Provider details
- NPI number
- 1104354406
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joanna Kelly, Owner/Psychotherapist(612) 961-1015
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 3192 (MN)
Ambulatory Health Care Facilities
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Mental Health Occupational Therapist225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3441 Cedar Ave SMinneapolis, MN 55407-2336Phone: (612) 440-1450Fax: (612) 524-5563
Registry dates
- Enumerated
- 2017-05-31
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Willow Bay Therapy, LLC's NPI number?
- Willow Bay Therapy, LLC's National Provider Identifier (NPI) is 1104354406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Bay Therapy, LLC?
- Willow Bay Therapy, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Willow Bay Therapy, LLC located?
- Willow Bay Therapy, LLC's practice location on file with NPPES is 12805 Highway 55 Ste 216, Plymouth, MN 55441-3859.
- What is Willow Bay Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Bay Therapy, LLC is (612) 440-1450.
- Who is the authorized official for Willow Bay Therapy, LLC?
- The authorized official listed on Willow Bay Therapy, LLC's NPPES record is Joanna Kelly, Owner/Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Bay Therapy, LLC's NPI active?
- Yes — Willow Bay Therapy, LLC's NPI (1104354406) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.