Individual provider Active NPI

Sarah Siltanen, PSY.D, LPCC

  • Professional Counselor
  • Duluth, MN
National Provider Identifier
1508620675
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4248 Issued in MN
Practice address
715 E Central Entrance
Duluth, MN 55811-5596
Phone
(218) 723-8153
Fax
(218) 722-7625
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 4248 MN Primary

Addresses

Primary practice location

715 E Central Entrance
Duluth, MN 55811-5596

Mailing address

715 E Central Entrance
Duluth, MN 55811-5596
Phone (218) 723-8153

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
I20240325000216 MN Practitioner - Mental Health Counselor 5991142101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4248MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Psychological Clinic, P.a. CurrentSince Mar 12, 2024 Accepting new patients

Locations

715 E Central Entrance
Duluth, MN 55811
Phone (218) 723-8153

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1508620675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E CENTRAL ENTRANCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115596",
            "telephone_number": "218-723-8153",
            "fax_number": "218-722-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E CENTRAL ENTRANCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115596",
            "telephone_number": "218-723-8153",
            "fax_number": "218-722-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILTANEN",
        "first_name": "SARAH",
        "credential": "PSY.D, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.