Organization Active NPI

Family Support Services Inc.

Doing business as Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
National Provider Identifier
1467549220
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY SUPPORT SERVICES INC.
Doing business as
Sagent Behavioral Health
Practice address
1900 Silver Lake Rd NW
Suite 115
New Brighton, MN 55112-1786
Phone
(651) 628-4993
Fax
(651) 379-1772
NPI assigned
Oct 5, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Ann Eiden
Title
VP of Operations
Phone
(651) 379-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1900 Silver Lake Rd NW
Suite 115
New Brighton, MN 55112-1786

Mailing address

1900 Silver Lake Rd NW Ste 115
New Brighton, MN 55112-1789
Phone (651) 628-4993

Other identifiers 1

IdentifierTypeStateIssuer
520038500MedicaidMN

Other names 2

  • Sagent Behavioral Health Doing business as
  • Adult Rehabilitative Mental Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000008 MN Part B Supplier - Clinic/Group Practice 0244297448 Receives reassigned benefits from 20 practitioners
Practice locations: Otsego, MN; Woodbury, MN; Sartell, MN; Rochester, MN; New Brighton, MN; Moorhead, MN; Maplewood, MN; Maple Grove, MN…

National Provider Directory

National Provider Directory
Tax ID family
Adult Rehabilitative Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

207 Jefferson Blvd
Big Lake, MN 55309
Phone (763) 367-6080

10729 Town Square Dr NE
Ste A
Blaine, MN 55449
Phone (763) 200-8248

817 Main St N
Cambridge, MN 55008
Phone (763) 325-0300

11660 Round Lake Blvd NW
Coon Rapids, MN 55433
Phone (763) 317-0718

20288 Highway 15 N
Ste 100
Hutchinson, MN 55350
Phone (320) 244-2437

201 N Broad St
Ste 200
Mankato, MN 56001
Phone (507) 200-2624

13603 80th Cir N
Maple Grove, MN 55369
Phone (763) 274-3120

1101 E 78th St
Ste 100
Minneapolis, MN 55420
Phone (952) 234-8604

2405 8th St S
Ste 20
Moorhead, MN 56560

2405 8th St S
Ste 200
Moorhead, MN 56560
Phone (218) 331-4866

1900 Silver Lake Rd NW
Ste 115
Saint Paul, MN 55112
Phone (651) 628-4993

101 Dehler Dr
Sartell, MN 56377
Phone (320) 253-3512

Practitioners & affiliated clinicians

Practitioners 869

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 869

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1467549220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW STE 115",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121789",
            "telephone_number": "651-628-4993",
            "fax_number": "651-379-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW",
            "address_2": "SUITE 115",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121786",
            "telephone_number": "651-628-4993",
            "fax_number": "651-379-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "EIDEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "651-379-1750"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520038500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagent Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Rehabilitative Mental Health Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adult Rehabilitative Mental Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.