Minnetonka Psychology and Wellness
NPI 1417204751 · Marriage & Family Therapist · Shorewood, MN
Minnetonka Psychology and Wellness is a Marriage & Family Therapist organization in Shorewood, MN (NPI 1417204751).
Provider details
- NPI number
- 1417204751
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Roger Ballou, Co-Owner(952) 767-0442
- License
- 1130 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Other names (DBA / former)
- Former legal business name
- Minnesota Relationship Center
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2014-07-10
Frequently asked questions
- What is Minnetonka Psychology and Wellness's NPI number?
- Minnetonka Psychology and Wellness's National Provider Identifier (NPI) is 1417204751, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnetonka Psychology and Wellness?
- Minnetonka Psychology and Wellness is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Minnetonka Psychology and Wellness located?
- Minnetonka Psychology and Wellness's practice location on file with NPPES is 19765 Highway 7, Shorewood, MN 55331.
- What is Minnetonka Psychology and Wellness's phone number?
- The practice phone number listed in the NPPES registry for Minnetonka Psychology and Wellness is (952) 767-0442.
- Who is the authorized official for Minnetonka Psychology and Wellness?
- The authorized official listed on Minnetonka Psychology and Wellness's NPPES record is Roger Ballou, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnetonka Psychology and Wellness's NPI active?
- Yes — Minnetonka Psychology and Wellness's NPI (1417204751) is active in the NPPES registry as of the last update on 2014-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.