Individual provider Active NPI

Sara Hart Schultz, MS, LPCC

  • Professional Counselor
  • Stillwater, MN
National Provider Identifier
1447668298
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01330 Issued in MN
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

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
CC01330MNMDProfessional Counselor
1330MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Schultz Counseling LLC Professional CurrentSince Mar 24, 2024 Accepting new patients
Nest Professional Service Corp CurrentSince Jul 4, 2023 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.

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

Verify at the official NPI Registry.