Individual provider Active NPI

Lawrence Lowell Sedlacek, MA, LPCC

  • Professional Counselor
  • North St. Paul, MN
National Provider Identifier
1093288987
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC03838 Issued in MN
Practice address
2497 7TH Avenue E.
Ste 101
North St. Paul, MN 55109-2946
Phone
(651) 769-6437
Fax
(651) 769-6599
NPI assigned
Jan 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC03838 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 305266 MN
Professional Counselor 101YP2500X CC03838 MN Primary

Addresses

Primary practice location

2497 7TH Avenue E.
Ste 101
North St. Paul, MN 55109-2946

Mailing address

2497 7TH Avenue E.
Ste 101
North St. Paul, MN 55109-2946
Phone (651) 769-6437

Other identifiers 1

IdentifierTypeStateIssuer
205557491MedicaidMN

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
I20240205003091 MN Practitioner - Mental Health Counselor 6204279433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bhsi LLCGroup PAC ID 3274504816, 33 clinicians

Practice addresses (Care Compare)

2497 7TH Ave E
Suite 101
North St Paul, MN 55109-2946
Phone (651) 769-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
305266MNMDAddiction (Substance Use Disorder) Counselor
CC03838MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bhsi, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

2497 7th Ave E
Ste 101
Saint Paul, MN 55109
Phone (651) 769-6400

2497 7th Ave E
Saint Paul, MN 55109
Phone (651) 387-2165

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1093288987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 7TH AVENUE E.",
            "address_2": "STE 101",
            "city": "NORTH ST. PAUL",
            "state": "MN",
            "postal_code": "551092946",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 7TH AVENUE E.",
            "address_2": "STE 101",
            "city": "NORTH ST. PAUL",
            "state": "MN",
            "postal_code": "551092946",
            "telephone_number": "651-769-6437",
            "fax_number": "651-769-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLACEK",
        "first_name": "LAWRENCE",
        "middle_name": "LOWELL",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-05-31",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03838",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305266",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC03838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205557491",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North St. Paul, MN

Sources for this page

Verify at the official NPI Registry.