Individual provider Active NPI

Lance P Armstrong, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Shakopee, MN
National Provider Identifier
1003116393
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15521 Issued in WI
Practice address
1174 Jefferson St S
Shakopee, MN 55379-2051
Phone
(612) 364-3160
NPI assigned
Nov 2, 2010
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15521 WI Primary
Mental Health Counselor 101YM0800X CC01038 MN

Addresses

Primary practice location

1174 Jefferson St S
Shakopee, MN 55379-2051

Mailing address

1174 Jefferson St S
Shakopee, MN 55379-2051
Phone (612) 364-3160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722002960 MN Practitioner - Mental Health Counselor 9537690474 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC01038MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shakopee Mdewakanton Sioux Community Single Specialty CurrentSince May 15, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc Past Accepting new patients

Locations

2330 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 496-6148

2360 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 233-2886

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1003116393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 JEFFERSON ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792051",
            "telephone_number": "612-364-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 JEFFERSON ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792051",
            "telephone_number": "612-364-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "LANCE",
        "middle_name": "P",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15521",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

Verify at the official NPI Registry.