Individual provider Active NPI

Sara Werner, MA, LP, RPT-S, SEP

  • Counseling Psychologist
  • Blaine, MN
National Provider Identifier
1508855586
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LP4967 Issued in MN
Practice address
4255 Pheasant Ridge Dr NE Ste 412
Blaine, MN 55449-5066
Phone
(763) 703-3753
Fax
(763) 703-3753
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LP4967 MN Primary

Addresses

Primary practice location

4255 Pheasant Ridge Dr NE Ste 412
Blaine, MN 55449-5066

Mailing address

4255 Pheasant Ridge Dr NE Ste 412
Blaine, MN 55449-5066
Phone (651) 503-7870

Other identifiers 4

IdentifierTypeStateIssuer
336R1REOtherMNBCBS ID#
55042A006OtherTRIWEST/TRICARE
808194000OtherMNMAGELLAN/AETNA ID#
HP11294OtherMNHEALTH PARTNERS ID#

Other names 1

  • Sara Zellmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP4967MNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Werner LLC Current Accepting new patients
Bachmann and Associates, Inc. Dba Counseling Care PastSince Mar 8, 2004 Accepting new patients
Bachmann and Associates, Inc PastSince Jul 24, 2022 Accepting new patients

Locations

4255 Pheasant Ridge Dr NE
Ste 412
Minneapolis, MN 55449
Phone (763) 703-3749

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1508855586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 PHEASANT RIDGE DR NE STE 412",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495066",
            "telephone_number": "651-503-7870",
            "fax_number": "763-402-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 PHEASANT RIDGE DR NE STE 412",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495066",
            "telephone_number": "763-703-3753",
            "fax_number": "763-703-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "SARA",
        "credential": "MA, LP, RPT-S, SEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP4967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "336R1RE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST/TRICARE",
            "identifier": "55042A006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN/AETNA ID#",
            "identifier": "808194000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS ID#",
            "identifier": "HP11294",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ZELLMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.