Individual provider Active NPI

Sandy Youa Yang-James, LMFT

  • Marriage & Family Therapist
  • Roseville, MN
National Provider Identifier
1457713968
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2853 Issued in MN
Practice address
1611 County Road B W Ste 202
Roseville, MN 55113-4053
Phone
(651) 300-1112
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2853 MN Primary

Addresses

Primary practice location

1611 County Road B W Ste 202
Roseville, MN 55113-4053

Mailing address

1611 County Road B W Ste 202
Roseville, MN 55113-4053
Phone (651) 300-1112

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
I20240210000024 MN Practitioner - Marriage and Family Therapist 4688017239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2853MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Larkey and Wright Inc Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Luminous Mind Inc CurrentSince Feb 2, 2020 Accepting new patients

Locations

1611 County Road B W
Ste 202
Saint Paul, MN 55113
Phone (651) 300-1112

1973 Sloan Pl
Ste 225
Saint Paul, MN 55117
Phone (651) 330-3434

475 Cleveland Ave N
Ste 316
Saint Paul, MN 55104
Phone (651) 330-3434

Organizations & group practices 2

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1457713968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 202",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "651-300-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 202",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "651-300-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG-JAMES",
        "first_name": "SANDY",
        "middle_name": "YOUA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.