Individual provider Active NPI

Sue Anne Marie Lammert, MA, LPC

  • Professional Counselor
  • Brooklyn Center, MN
National Provider Identifier
1144575192
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
01226 Issued in MN
Practice address
3300 Bass Lake Rd
Suite 500
Brooklyn Center, MN 55429-3072
Phone
(763) 560-8331
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 01226 MN Primary

Addresses

Primary practice location

3300 Bass Lake Rd
Suite 500
Brooklyn Center, MN 55429-3072

Mailing address

6922 Corvallis Ave N
Crystal, MN 55428-4334

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
I20231220003971 MN Practitioner - Mental Health Counselor 4981054673 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01226MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Health, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

3300 County Road 10
Ste 500
Brooklyn Ctr, MN 55429
Phone (763) 560-8331

6160 Summit Dr N
Ste 375
Minneapolis, MN 55430
Phone (763) 560-8331

Organizations & group practices 1

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1144575192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 CORVALLIS AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554284334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD",
            "address_2": "SUITE 500",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "763-560-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMMERT",
        "first_name": "SUE",
        "middle_name": "ANNE MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

Verify at the official NPI Registry.