Individual provider Active NPI

Alexis Lise Cote-Sands, LICSW

  • Clinical Social Worker
  • Mankato, MN
National Provider Identifier
1144792664
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20887 Issued in MN
Practice address
1025 Marsh St
Mankato, MN 56001-4752
Phone
(507) 625-4031
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20887 MN Primary

Addresses

Primary practice location

1025 Marsh St
Mankato, MN 56001-4752

Mailing address

401 S Main St
Lake Crystal, MN 56055-2119
Phone (507) 381-8748

Other practice location 1

201 Armstrong Blvd S
Saint James, MN 56081-1775
Phone (507) 375-3442

Other practice location 2

201 Armstrong Blvd S
Saint James, MN 56081-1775
Phone (507) 375-3442

Other practice location 3

342 Belgrade Ave
North Mankato, MN 56003
Phone (507) 388-3181

Other practice location 4

401 S Main St
Lake Crystal, MN 56055-2119
Phone (507) 381-8748

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com

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
I20190206002491 MN Practitioner - Clinical Social Worker 5890033427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians

Practice addresses (Care Compare)

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20887MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds Counseling, LLC CurrentSince Mar 1, 2021 Accepting new patients
Mankato Clinic LTD CurrentSince Nov 1, 2023 Accepting new patients

Locations

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

1400 Madison Ave
Ste 352
Mankato, MN 56001
Phone (507) 387-3195

1407 S State St
New Ulm, MN 56073
Phone (507) 354-3181

Interoperability endpoints

  • Direct secure messaging: alexiscote-sands@mklt.allscriptsdirect.net

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1144792664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552119",
            "telephone_number": "507-381-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014752",
            "telephone_number": "507-625-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Armstrong Blvd S",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "MN",
            "postal_code": "560811775",
            "country_code": "US",
            "telephone_number": "507-375-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Armstrong Blvd S",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "MN",
            "postal_code": "560811775",
            "country_code": "US",
            "telephone_number": "507-375-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Belgrade Ave",
            "address_purpose": "LOCATION",
            "city": "North Mankato",
            "state": "MN",
            "postal_code": "56003",
            "country_code": "US",
            "telephone_number": "507-388-3181",
            "fax_number": "507-388-3199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lake Crystal",
            "state": "MN",
            "postal_code": "560552119",
            "country_code": "US",
            "telephone_number": "507-381-8748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTE-SANDS",
        "first_name": "ALEXIS",
        "middle_name": "LISE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "address_1": "401 S Main St",
            "city": "Lake Crystal",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560552119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.