Sara Joanne Pahl, BCBA, LPCC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

10450 185TH St W Ste 100
Lakeville, MN 55044-6696

Phone

(612) 509-6690

NPI assigned

May 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Autism Society of MinnesotaGroup PAC ID 8224921242, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

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.

• Autism Society of Minnesota

  • Psychologist
  • Saint Paul, MN
  • NPI 1447236609
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194085746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 TERRACEWOOD DR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373444",
            "telephone_number": "206-226-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 185TH ST W STE 100",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446696",
            "telephone_number": "612-509-6690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Wycliff St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141257",
            "country_code": "US",
            "telephone_number": "651-647-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAHL",
        "first_name": "SARA",
        "middle_name": "JOANNE",
        "credential": "BCBA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01517",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn R Ottum, LPC
• Alexis Patricia Ouradnik- Smith
• Cristina Pacheco
• Susan Rae Pacyga, LICSW LMFT
• Marcus C Padilla
• Shujin Pang
• Panoramic Perspectives Therapy and Training, PA
• Park Nicollet Health Care Products
• Amy Lynn Parker, MSW, LICSW
• Maria Patch, RN

• Behavior Analyst in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.