Individual provider Active NPI

Sarah Ann Souder Johnson, M.ED.

  • Counselor
  • St. Paul, MN
National Provider Identifier
1346619996
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
865 Issued in MN
Practice address
670 Cleveland Ave S
Sentier Psychotherapy
St. Paul, MN 55116
Phone
(763) 913-8261
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 865 MN Primary

Addresses

Primary practice location

670 Cleveland Ave S
Sentier Psychotherapy
St. Paul, MN 55116

Mailing address

1421 Midway Pkwy
Saint Paul, MN 55108-2419
Phone (612) 799-4619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 31, 2026 through Mar 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
865MNMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1346619996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MIDWAY PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082419",
            "telephone_number": "612-799-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CLEVELAND AVE S",
            "address_2": "SENTIER PSYCHOTHERAPY",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "763-913-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "ANN SOUDER",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.