Individual provider Active NPI

Shante Sookhlall Hanson, LMFT, RN

  • Marriage & Family Therapist
  • Stillwater, MN
National Provider Identifier
1073880068
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2306 Issued in MN
Practice address
5995 Oren Ave N Ste 108
Stillwater, MN 55082-5302
Phone
(612) 524-9237
Fax
(612) 314-8317
NPI assigned
Nov 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2485250 MN
Marriage & Family Therapist 106H00000X 2192-124 WI
Registered Nurse 163W00000X 1119070-30 WI
Marriage & Family Therapist 106H00000X 2306 MN Primary

Addresses

Primary practice location

5995 Oren Ave N Ste 108
Stillwater, MN 55082-5302

Mailing address

5995 Oren Ave N Ste 108
Stillwater, MN 55082-5302
Phone (612) 524-9237

Other identifiers 1

IdentifierTypeStateIssuer
1073880068MedicaidMN

Other names 1

  • Shante Sookhlall Basant Former name

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
I20260311001011 MN Practitioner - Marriage and Family Therapist 8628356391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5995 Oren Ave N
Suite 108
Stillwater, MN 55082-5302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2192-124WIMDMarriage & Family Therapist
2306MNMDOptometrist
2485250MNMDRegistered Nurse
1119070-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shante PLLC Marriage & Family Therapist CurrentSince Jan 1, 2026 Accepting new patients
Frances Bieganek LLC Current Accepting new patients
The Lotus Connection, LLC Marriage & Family Therapist PastSince Jan 28, 2026 Accepting new patients
Bhakti Acupuncture LLC PastSince Mar 20, 2017 Accepting new patients
Bhakti Mental Health Marriage & Family Therapist PastSince May 1, 2014 Accepting new patients

Locations

7550 France Ave S
Ste 220
Minneapolis, MN 55435
Phone (612) 859-7709

5995 Oren Ave N
Ste 108
Stillwater, MN 55082
Phone (612) 524-9237

5995 Oren Ave N
Ste 209
Stillwater, MN 55082
Phone (612) 243-6864

Organizations & group practices 5

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": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1073880068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 108",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825302",
            "telephone_number": "612-524-9237",
            "fax_number": "612-314-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 OREN AVE N STE 108",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550825302",
            "telephone_number": "612-524-9237",
            "fax_number": "612-314-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SHANTE",
        "middle_name": "SOOKHLALL",
        "credential": "LMFT, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2485250",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2192-124",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "1119070-30",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073880068",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTE",
            "last_name": "BASANT",
            "middle_name": "SOOKHLALL",
            "credential": "LMFT, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.