Active NPI
Sara Watne, M.A. LPCC
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1356720338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC00616
- Practice address
- 1804 W 50TH St
Minneapolis, MN 55419 - Phone
- (612) 927-7335
- Fax
- (612) 927-4259
- NPI assigned
- May 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC00616 | MN | Primary |
Addresses
Primary practice location
1804 W 50TH St
Minneapolis, MN 55419
Mailing address
1804 W 50TH St
Minneapolis, MN 55419
Phone (612) 927-7335
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00616 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1356720338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 W 50TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55419",
"telephone_number": "612-927-7335",
"fax_number": "612-927-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 W 50TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55419",
"telephone_number": "612-927-7335",
"fax_number": "612-927-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATNE",
"first_name": "SARA",
"credential": "M.A. LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-24",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC00616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.