Individual provider Active NPI

Sara Jane Sedahl, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Menomonie, WI
National Provider Identifier
1396985859
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15497131 Issued in WI
Practice address
320 21St St N
Menomonie, WI 54751-2228
Phone
(715) 235-4537
Fax
(715) 235-4535
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15497131 WI Primary

Addresses

Primary practice location

320 21St St N
Menomonie, WI 54751-2228

Mailing address

118 Park Dr TRLR 240
Colfax, WI 54730-8922
Phone (715) 704-6068

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

State licenses

LicenseStateTypeSpecialty
15497131WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1396985859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PARK DR TRLR 240",
            "city": "COLFAX",
            "state": "WI",
            "postal_code": "547308922",
            "telephone_number": "715-704-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 21ST ST N",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512228",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAHL",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15497131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.