Organization Active NPI

Sanctuary Counseling & Consulting

  • Mental Health Counselor
  • Minnetonka, MN
National Provider Identifier
1043963523
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANCTUARY COUNSELING & CONSULTING
Practice address
12800 Whitewater Dr
Minnetonka, MN 55343-9441
Phone
(952) 412-6997
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Mrs. Nancy Phyllis Rich, MSW LICSWNPI 1124338728
Title
Owner; Psychotherapist
Phone
(952) 412-6997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12800 Whitewater Dr
Minnetonka, MN 55343-9441

Mailing address

5823 Crossandra St SE
Prior Lake, MN 55372-3337
Phone (952) 412-6997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1043963523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 CROSSANDRA ST SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723337",
            "telephone_number": "952-412-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439441",
            "telephone_number": "952-412-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER; PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "952-412-6997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.