Sara Bowd, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2959 Issued in MN

Practice address

3640 Talmage Cir Ste 210
Vadnais Heights, MN 55110-7100

Phone

(952) 431-5330

NPI assigned

May 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Waldack Other name

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

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Online Counseling LLCGroup PAC ID 3072849207, 13 clinicians

Ruby Mental Health PLLCGroup PAC ID 3971029273, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

Practice roles

Locations

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.

• Minnesota Online Counseling LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1609255694
  Medicare reassignment Care Compare group NPD
• Ruby Mental Health PLLC

  • Mental Health Counselor
  • St. Paul, MN
  • NPI 1154136547

  MN

  Medicare reassignment Care Compare group NPD
• Integrative Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakdale, MN
  • NPI 1396314654

  MN

  Medicare reassignment NPD
• Optimal Brain MN, PLLC

  • Clinical Psychologist
  • Oakdale, MN
  • NPI 1609614957
  NPD (past)

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1154857464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIR STE 210",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551107100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIR STE 210",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551107100",
            "telephone_number": "952-431-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWD",
        "first_name": "SARA",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WALDACK",
            "credential": "MS, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa Ann Bisson, PT, DPT, NCS, ATP
• Nicholas Cameron Bjore, PA-C
• Jennifer Susan Blade, PT
• Kelli Jo Bodie-Miner
• Tracee Marie Bosch
• Kelsey Boyea, PSYD, LP
• Jennifer Bradley, PT
• Brittney Marie Brager, PHARMD
• Joseph Brandenburg, PHARMD
• Rachel A Brang, PAC

• All providers in Vadnais Heights, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.