Selah Wellness Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SELAH WELLNESS CENTER LLC

Practice address

501 Main St
Sandstone, MN 55072-4410

Phone

(320) 372-2312

NPI assigned

Feb 26, 2025

Last updated

Mar 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naomi KoenigNPI 1659893170

Title

Ceo

Phone

(320) 372-2323

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 6

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.

• Naomi Koenig, APRN,FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandstone, MN
  • NPI 1659893170
  Medicare reassignment NPD Authorized official
• Danielle Marie Carlin, CNP

  • Family Nurse Practitioner
  • Sandstone, MN
  • NPI 1962946509
  Medicare reassignment NPD
• Karron Leigh Cohoon, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandstone, MN
  • NPI 1902379613
  Medicare reassignment NPD
• Shelly Anne Kuhlmann, NP

  • Primary Care Nurse Practitioner
  • Sandstone, MN
  • NPI 1215797113
  Medicare reassignment NPD
• Joshua Larsen, LICSW

  • Clinical Social Worker
  • Mora, MN
  • NPI 1366214488
  Medicare reassignment NPD
• Joleen A Peters, APRN, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandstone, MN
  • NPI 1023845377
  Medicare reassignment NPD

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1619774783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550724410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550724410",
            "telephone_number": "320-372-2312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Northridge Ct NW",
            "address_purpose": "LOCATION",
            "city": "Pine City",
            "state": "MN",
            "postal_code": "550635821",
            "country_code": "US",
            "telephone_number": "320-372-2312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12760 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Lindstrom",
            "state": "MN",
            "postal_code": "550459342",
            "country_code": "US",
            "telephone_number": "320-372-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELAH WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-372-2323"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carole Rohde, DPT
• Michael Sandell
• Sandstone Dental Office
• Jeffrey Lee Schneider
• Brooke Schwasinger
• Selah Wellness Clinic LLC
• Zane Charles Sundberg, DPT
• Carrie Sura
• Nick M. Taurinskas, M.D.
• Rebecca Thomas, LPN

• Multi-Specialty Clinic/Center in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.