Individual provider Active NPI

Sarah Beth Bengtson, MA, LADC, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Saint Cloud, MN
National Provider Identifier
1407032949
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302150 Issued in MN
Practice address
14 7TH Ave N
Saint Cloud, MN 56303-4753
Phone
(320) 309-0936
Fax
(320) 259-4048
NPI assigned
Jan 15, 2008
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302150 MN Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

14 7TH Ave N
Saint Cloud, MN 56303-4753

Mailing address

PO Box 7665
Saint Cloud, MN 56302-7665
Phone (320) 309-0936

Other identifiers 1

IdentifierTypeStateIssuer
1922409648MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816000234 MN Practitioner - Mental Health Counselor 0244777548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
302150MNMDAddiction (Substance Use Disorder) Counselor
2478MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S.B. Consulting L.L.C. Addiction (Substance Use Disorder) CurrentSince May 13, 2024 Accepting new patients

Locations

14 7th Ave N
Saint Cloud, MN 56303
Phone (320) 259-4014

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1407032949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7665",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027665",
            "telephone_number": "320-309-0936",
            "fax_number": "320-259-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 7TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034753",
            "telephone_number": "320-309-0936",
            "fax_number": "320-259-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "MA, LADC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302150",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922409648",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.