Individual provider Active NPI

Sonja Lynn Kareem Walker, LMFT

  • Marriage & Family Therapist
  • Webster, MN
National Provider Identifier
1003568189
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3844 Issued in MN
Practice address
4930 Jackson Ave
Webster, MN 55088-2024
Phone
(612) 800-2811
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3844 MN Primary

Addresses

Primary practice location

4930 Jackson Ave
Webster, MN 55088-2024

Mailing address

4930 Jackson Ave
Webster, MN 55088-2024
Phone (612) 800-2811

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
I20240513003500 MN Practitioner - Marriage and Family Therapist 0143661884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3344MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Counseling, LLC CurrentSince Mar 23, 2024 Accepting new patients
Pride Counseling Services PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

100 Warren St
Ste 324
Mankato, MN 56001
Phone (507) 246-2667

151 Saint Andrews Ct
Ste 200
Mankato, MN 56001
Phone (507) 705-5415

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1003568189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 JACKSON AVE",
            "city": "WEBSTER",
            "state": "MN",
            "postal_code": "550882024",
            "telephone_number": "612-800-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 JACKSON AVE",
            "city": "WEBSTER",
            "state": "MN",
            "postal_code": "550882024",
            "telephone_number": "612-800-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SONJA",
        "middle_name": "LYNN KAREEM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MN

Sources for this page

Verify at the official NPI Registry.