Active NPI
Sara Hart Schultz, MS, LPCC
- Professional Counselor
- Stillwater, MN
National Provider Identifier
1447668298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01330
- Practice address
- 275 3Rd St S Ste 101B
Stillwater, MN 55082-4987 - Phone
- (651) 300-4311
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01330 | MN | Primary |
Addresses
Primary practice location
275 3Rd St S Ste 101B
Stillwater, MN 55082-4987
Mailing address
275 3Rd St S Ste 101B
Stillwater, MN 55082-4987
Phone (651) 300-4311
Other practice location 1
333 Main St N Ste 110
Stillwater, MN 55082-5054
Phone (651) 425-9297
Other names 1
- Sara Hart Brodeur
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 1, 2024 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01330 | MN | MD | Professional Counselor |
| 1330 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Schultz Counseling LLC | Professional | Current | Accepting new patients |
| Nest Professional Service Corp | Current | Accepting new patients | |
| Nystrom & Associates, LTD | Past | Accepting new patients |
Locations
275 3rd St S
Ste 101B
Stillwater, MN 55082
Phone (651) 300-4311
333 Main St N
Ste 110
Stillwater, MN 55082
Phone (651) 300-4311
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Stillwater, MN
- NPI 1659131803
-
- Community/Behavioral Health Agency
- Stillwater, MN
- NPI 1508314071
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1447668298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 3RD ST S STE 101B",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824987",
"telephone_number": "651-300-4311",
"fax_number": "651-309-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 3RD ST S STE 101B",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824987",
"telephone_number": "651-300-4311"
}
],
"practiceLocations": [
{
"address_1": "333 Main St N Ste 110",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "MN",
"postal_code": "550825054",
"country_code": "US",
"telephone_number": "651-425-9297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "SARA",
"middle_name": "HART",
"credential": "MS, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "BRODEUR",
"middle_name": "HART",
"credential": "MS, LPCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.