Woodhaven Wellness LLC
NPI 1124639190 · Mental Health Clinic/Center (Including Community Mental Health Center) · Buffalo, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Woodhaven Wellness LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Buffalo, MN (NPI 1124639190).
Provider details
- NPI number
- 1124639190
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Mattison-Wynn, Ceo(763) 478-7395
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Frequently asked questions
- What is Woodhaven Wellness LLC's NPI number?
- Woodhaven Wellness LLC's National Provider Identifier (NPI) is 1124639190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodhaven Wellness LLC?
- Woodhaven Wellness LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Woodhaven Wellness LLC located?
- Woodhaven Wellness LLC's practice location on file with NPPES is 30 1st Ave Ne, Buffalo, MN 55313-1515.
- What is Woodhaven Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Woodhaven Wellness LLC is (763) 478-7395.
- Does Woodhaven Wellness LLC accept Medicare?
- Woodhaven Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Woodhaven Wellness LLC?
- The authorized official listed on Woodhaven Wellness LLC's NPPES record is Mary Mattison-Wynn, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodhaven Wellness LLC's NPI active?
- Yes — Woodhaven Wellness LLC's NPI (1124639190) is active in the NPPES registry as of the last update on 2021-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.