Sandra Lee Andreasen, MS, LMFT, LPC, LSW
Individual provider Active NPI Marriage & Family Therapist · St. Cloud, MN
NPI 1326097783 · NPPES record last updated Feb 20, 2014
Key facts
- NPI
- 1326097783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1898 (MN)
- Practice address
- 1406 6TH Avenue North
St. Cloud Hospital
St. Cloud, MN 56303-1901 - Phone
- (320) 251-2700
- Fax
- (320) 656-7115
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125002901 | MN | Practitioner - Marriage and Family Therapist | 5890148878 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6453 | MN | MD | Mental Health Counselor |
| 00447(LPC) | MN | MD | Professional Counselor |
| 1898 | MN | MD | Professional Counselor |
| 1898(LAMFT) | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Cloud Hospital | Current | Accepting new patients |
Locations
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6453 | MN | |
| Professional Counselor | 101YP2500X | 00447(LPC) | MN | |
| Marriage & Family Therapist | 106H00000X | 1898(LAMFT) | MN | |
| Marriage & Family Therapist | 106H00000X | 1898 | MN | Yes |
| Pastoral Counselor | 101YP1600X | 447 | MN | |
| Social Worker | 104100000X | 6453 | MN |
Addresses
Primary practice location
1406 6TH Avenue North
St. Cloud Hospital
St. Cloud, MN 56303-1901
Mailing address
1406 6TH Avenue North
St. Cloud Hospital
St. Cloud, MN 56303-1901
Phone (320) 251-2700
Other providers in St. Cloud, MN
- Shannon Patricia Anderson
- Shereen Lynn Anderson
- Stacia S Anderson
- Suzanne Gene Anderson
- Thomas Anderson
- Mary Helen Andreotti
- Hannah Mary-Lynn Andrews
- Kathryn J Andrews
- Scott Andrews
- Anesthesia Associates of St. Cloud, LTD
All providers in St. Cloud, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.