Individual provider Active NPI

Andrea L Walker, MS, LMFT

  • Marriage & Family Therapist
  • Worthington, MN
National Provider Identifier
1215275250
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3001 Issued in MN
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

Updated by the provider on Oct 12, 2023

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 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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
The Sanctuary Services, LLC Marriage & Family Therapist Current Accepting new patients
Southwestern Mental Health Center Inc PastSince Aug 15, 2016 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.

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.

Verify at the official NPI Registry.