Sheila Kathryn Anderson, LMFT
Individual provider Active NPI Marriage & Family Therapist · Lakeville, MN
NPI 1154769164 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1154769164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2231 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904004581 | MN | Practitioner - Marriage and Family Therapist | 3375083454 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellie Family Services, PLLP | Current |
Accepting new patients | |
| Panoramic Perspectives Therapy and Training, PA | Current |
Accepting new patients | |
| Lorenz Clinic, LLC | Marriage & Family Therapist | Past |
Accepting new patients |
| Soulfully Rewritten Therapy | Past |
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
- https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2231 | MN | Yes |
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
Other providers in Lakeville, MN
- Mahmood Ameli
- Americare Covid Testing LLC
- Anchor Health Services LLC
- Anderson & McDonald OD LTD
- Deborah Ann Anderson
- Kathryn Andrew
- Alyssa Renee Anfinson
- Kara Marie Annoni
- Emmanuel I Anyaogu
- Melissa Appel
All providers in Lakeville, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.