Individual provider Active NPI

Sheila L Salo-Seifert, LMFT

  • Marriage & Family Therapist
  • Farmington, MN
National Provider Identifier
1588128136
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3753 Issued in MN
Practice address
16990 Florin Ave
Farmington, MN 55024-9497
Phone
(218) 398-1339
NPI assigned
Jan 29, 2019
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 3753 MN Primary

Addresses

Primary practice location

16990 Florin Ave
Farmington, MN 55024-9497

Mailing address

16990 Florin Ave
Farmington, MN 55024-9497
Phone (952) 997-3770

Other practice location 1

10535 165th St W
Lakeville, MN 55044-5729
Phone (952) 435-0022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheilalmft@hopetherapy.com Direct

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
I20240215003172 MN Practitioner - Marriage and Family Therapist 6305280538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Bound Counseling PLLCGroup PAC ID 2163865619, 2 clinicians

Practice addresses (Care Compare)

213 N Main St
Le Sueur, MN 56058-1846
Phone (507) 858-3019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Principle Therapy LLC CurrentSince Mar 17, 2024 Accepting new patients
Forward Bound Counseling PLLC CurrentSince Jan 1, 2024 Accepting new patients
Secure Base Counseling Center LLC Marriage & Family Therapist PastSince Mar 15, 2020 Accepting new patients
Lakeville Behavioral Health, LLC Past Accepting new patients
Fairweather Investments, LLC PastSince Mar 9, 2020 Accepting new patients

Locations

2935 W Service Rd
Eagan, MN 55121
Phone (507) 858-3019

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1588128136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16990 FLORIN AVE",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550249497",
            "telephone_number": "952-997-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16990 FLORIN AVE",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550249497",
            "telephone_number": "218-398-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10535 165th St W",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550445729",
            "country_code": "US",
            "telephone_number": "952-435-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALO-SEIFERT",
        "first_name": "SHEILA",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheilalmft@hopetherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure HIPPA compliant e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16990 Florin Ave",
            "city": "Farmington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550249497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MN

Sources for this page

Verify at the official NPI Registry.