Individual provider Active NPI

Sandra Lynn Rickertsen, MS LMFT

  • Marriage & Family Therapist
  • Hutchinson, MN
National Provider Identifier
1295975225
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2183 Issued in MN
Practice address
1150 W Shore Dr SW
Hutchinson, MN 55350-6740
Phone
(763) 245-1970
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 2183 MN Primary

Addresses

Primary practice location

1150 W Shore Dr SW
Hutchinson, MN 55350-6740

Mailing address

1150 W Shore Dr SW
Hutchinson, MN 55350-6740
Phone (763) 245-1970

Other practice location 1

904 Highway 15 S Ste B
Hutchinson, MN 55350-3191
Phone (320) 587-2484

Other practice location 2

116 Main St S
Hutchinson, MN 55350-2507
Phone (763) 245-1970

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241121001946 MN Practitioner - Marriage and Family Therapist 2365977824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hutchinson, MN 55350
Phone (763) 245-1970

116 Main St S
Hutchinson, MN 55350-2507
Phone (763) 245-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rickertsen Therapy Center CurrentSince Sep 21, 2024 Accepting new patients

Locations

116 Main St S
Hutchinson, MN 55350
Phone (763) 245-1970

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1295975225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W SHORE DR SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553506740",
            "telephone_number": "763-245-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W SHORE DR SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553506740",
            "telephone_number": "763-245-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Highway 15 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553503191",
            "country_code": "US",
            "telephone_number": "320-587-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Main St S",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553502507",
            "country_code": "US",
            "telephone_number": "763-245-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKERTSEN",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "MS LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.