Active NPI
Andrea L Walker, MS, LMFT
- Marriage & Family Therapist
- Worthington, MN
National Provider Identifier
1215275250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3001
- Practice address
- 921 4TH Ave
Worthington, MN 56187-2372 - Phone
- (507) 229-0806
- Fax
- (507) 376-6566
- NPI assigned
- Jan 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3001 | MN | Primary |
Addresses
Primary practice location
921 4TH Ave
Worthington, MN 56187-2372
Mailing address
921 4TH Ave
Worthington, MN 56187-2372
Phone (507) 229-0806
Other practice location 1
3220 W 57th St Ste 103
Sioux Falls, SD 57108-3146
Phone (507) 360-9426
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@thesanctuarycounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sanctuary Services, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Southwestern Mental Health Center Inc | Past | Accepting new patients |
Locations
921 4th Ave
Worthington, MN 56187
Phone (507) 376-4732
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Sanctuary Counseling Services
- Marriage & Family Therapist
- Worthington, MN
- NPI 1154956761
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Luverne, MN
- NPI 1487654562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1215275250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 4TH AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561872372",
"telephone_number": "507-229-0806",
"fax_number": "507-376-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 4TH AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561872372",
"telephone_number": "507-229-0806",
"fax_number": "507-376-6566"
}
],
"practiceLocations": [
{
"address_1": "3220 W 57th St Ste 103",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571083146",
"country_code": "US",
"telephone_number": "507-360-9426",
"fax_number": "507-291-7474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3001",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@thesanctuarycounseling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "921 4th Ave",
"city": "Worthington",
"state": "MN",
"country_code": "US",
"postal_code": "561872372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.