NPIMap

Organization Active NPI

Red Lion Therapy & Consultation, LLC

  • Mental Health Counselor
  • Sandstone, MN
National Provider Identifier
1376415935
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RED LION THERAPY & CONSULTATION, LLC
Practice address
119 4TH St Ste 204
Sandstone, MN 55072-2209
Phone
(320) 245-7018
Fax
(320) 262-7076
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mrs. Kelly Marie Andersen, MS LPCC LADC
Title
Owner, Ceo
Phone
(320) 245-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

119 4TH St Ste 204
Sandstone, MN 55072-2209

Mailing address

PO Box 26
Sandstone, MN 55072-0026
Phone (320) 245-7018

National Provider Directory

National Provider Directory

Locations

119 4th St
Ste 204
Sandstone, MN 55072
Phone (320) 245-7018

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1376415935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720026",
            "telephone_number": "320-245-7018",
            "fax_number": "320-262-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 4TH ST STE 204",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550722209",
            "telephone_number": "320-245-7018",
            "fax_number": "320-262-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LION THERAPY & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "320-245-7018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LPCC LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandstone, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.