Individual provider Active NPI

Sheila Kathryn Anderson, LMFT

  • Marriage & Family Therapist
  • Lakeville, MN
National Provider Identifier
1154769164
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2231 Issued in MN
Practice address
17645 Juniper Path Ste 105
Lakeville, MN 55044-7491
Phone
(952) 600-8191
Fax
(952) 600-8044
NPI assigned
Jun 12, 2013
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2231 MN Primary

Addresses

Primary practice location

17645 Juniper Path Ste 105
Lakeville, MN 55044-7491

Mailing address

17645 Juniper Path Ste 105
Lakeville, MN 55044-7491
Phone (952) 600-8191

Other practice location 1

6600 City West Pkwy Ste 125
Eden Prairie, MN 55344-3261
Phone (952) 600-8191

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
I20240904004581 MN Practitioner - Marriage and Family Therapist 3375083454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17645 Juniper Path
Suite 105
Lakeville, MN 55044-7491
Phone (952) 600-8191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Panoramic Perspectives Therapy and Training, PA CurrentSince Jul 22, 2024 Accepting new patients
Ellie Family Services, PLLP CurrentSince Jul 22, 2024 Accepting new patients
Soulfully Rewritten Therapy PastSince Feb 23, 2025 Accepting new patients
Lorenz Clinic, LLC Marriage & Family Therapist PastSince Jun 1, 2021 Accepting new patients

Locations

6600 City West Pkwy
Ste 125
Eden Prairie, MN 55344
Phone (952) 314-4449

17645 Juniper Path
Ste 105
Lakeville, MN 55044
Phone (952) 600-8191

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1154769164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17645 JUNIPER PATH STE 105",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447491",
            "telephone_number": "952-600-8191",
            "fax_number": "952-600-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17645 JUNIPER PATH STE 105",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447491",
            "telephone_number": "952-600-8191",
            "fax_number": "952-600-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 City West Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553443261",
            "country_code": "US",
            "telephone_number": "952-600-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHEILA",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.