Individual provider Active NPI

Amy Dahl, LMFT

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1629640636
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2336 Issued in MN
Practice address
1411 W Saint Germain St Ste 204
Saint Cloud, MN 56301-4172
Phone
(218) 820-7671
NPI assigned
Jul 11, 2021
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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 2336 MN Primary

Addresses

Primary practice location

1411 W Saint Germain St Ste 204
Saint Cloud, MN 56301-4172

Mailing address

4682 Wilderness CT # 103
Brainerd, MN 56401-2834
Phone (218) 820-7671

Other practice location 1

4682 Wilderness Ct # 103
Brainerd, MN 56401-2834
Phone (218) 820-7671

Other practice location 2

25282 Hazelwood Dr Ste 1
Nisswa, MN 56468-2976
Phone (218) 820-7671

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

State licenses

LicenseStateTypeSpecialty
2336MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Vaughn Therapy Services LLC Marriage & Family Therapist Past Accepting new patients

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, 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": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1629640636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 WILDERNESS CT # 103",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012834",
            "telephone_number": "218-820-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST STE 204",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014172",
            "telephone_number": "218-820-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4682 Wilderness Ct # 103",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564012834",
            "country_code": "US",
            "telephone_number": "218-820-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25282 Hazelwood Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nisswa",
            "state": "MN",
            "postal_code": "564682976",
            "country_code": "US",
            "telephone_number": "218-820-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "AMY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.