Individual provider Active NPI

Sarah Elisabeth Haller, MA

  • Marriage & Family Therapist
  • Anoka, MN
National Provider Identifier
1144704396
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3346 Issued in MN
Practice address
630 E Main St
Anoka, MN 55303-2527
Phone
(763) 712-1903
Fax
(763) 712-1917
NPI assigned
Sep 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101007212 MI
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 3346 MN Primary

Addresses

Primary practice location

630 E Main St
Anoka, MN 55303-2527

Mailing address

1565 Lake James Dr
Prudenville, MI 48651-9420
Phone (989) 538-0006

Other practice location 1

1328 McKay Dr NE Unit 100
Ham Lake, MN 55304-6157
Phone (763) 712-1903

Other practice location 2

2945 Hansen Rd
West Branch, MI 48661-9317
Phone (989) 345-5440

Other names 1

  • Sarah Elisabeth Saglimbene 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
I20241030004097 MN Practitioner - Marriage and Family Therapist 2365975257 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4101007212MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Oct 3, 2024 Accepting new patients
Truenorth CCM, Inc. Past Accepting new patients
Optiovillage, Inc Past Accepting new patients
Genuine Therapy Center Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Organizations & group practices 4

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": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1144704396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 LAKE JAMES DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519420",
            "telephone_number": "989-538-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E MAIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032527",
            "telephone_number": "763-712-1903",
            "fax_number": "763-712-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 McKay Dr NE Unit 100",
            "address_purpose": "LOCATION",
            "city": "Ham Lake",
            "state": "MN",
            "postal_code": "553046157",
            "country_code": "US",
            "telephone_number": "763-712-1903",
            "fax_number": "763-712-1917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2945 Hansen Rd",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486619317",
            "country_code": "US",
            "telephone_number": "989-345-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLER",
        "first_name": "SARAH",
        "middle_name": "ELISABETH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007212",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SAGLIMBENE",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anoka, MN

Sources for this page

Verify at the official NPI Registry.