WILLOW BAY THERAPY, LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1104354406

WILLOW BAY THERAPY, LLC is a healthcare provider. based in Minneapolis, Minnesota. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. 3192 (MN). The NPI Number for WILLOW BAY THERAPY, LLC is 1104354406

Main info

Organization
Name
WILLOW BAY THERAPY, LLC
NPI
1104354406
Phone
(612) 961-1015
Address
3933 BLOOMINGTON AVE
Authorized Official
MS. JOANNA LYNN KELLY OWNER/PSYCHOTHERAPIST MA, LMFT, RPT-S
Enumeration Date
31 May 2017
Last Update Date
23 February 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for WILLOW BAY THERAPY, LLC

  • 3933 BLOOMINGTON AVE

    MINNEAPOLIS, MN 554072843

    Phone: (612) 961-1015

    Fax: (612) 524-5563

    Type: Mailing

  • 3441 Cedar Ave S

    MINNEAPOLIS, MN 554072336

    Phone: (612) 440-1450

    Fax: (612) 524-5563

    Type: Location

  • 16807, 66th Avenue North, Elm Creek Crossing, Maple Grove, Hennepin County, Minnesota, 55311, United States

    MAPLE GROVE, MN 553113956

    Phone: (612) 961-1015

    Fax: (612) 524-5563

    Type: Mailing

  • Hwy 55, West Medicine Lake Drive, Plymouth, Hennepin County, Minnesota, 55441, United States

    PLYMOUTH, MN 554413859

    Phone: (612) 440-1450

    Fax: (612) 524-5563

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55407)

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Reviews

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Frequently asked questions

Can I use this page to confirm WILLOW BAY THERAPY, LLC's NPI?
Yes. WILLOW BAY THERAPY, LLC is listed with NPI 1104354406 in the public NPI dataset.
Can I rely on WILLOW BAY THERAPY, LLC being an active provider?
As of the registry snapshot, WILLOW BAY THERAPY, LLC is marked active.
What is WILLOW BAY THERAPY, LLC best known for clinically?
Directory data describes WILLOW BAY THERAPY, LLC with Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Where should I expect WILLOW BAY THERAPY, LLC on a map?
Expect Minneapolis, Minnesota as a primary anchor for WILLOW BAY THERAPY, LLC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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