Individual provider Active NPI

Sarah Beth Kuylen, LAC

  • Addiction (Substance Use Disorder) Counselor
  • New England, ND
National Provider Identifier
1659065811
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1661 Issued in ND
Practice address
440 McKenzie St
New England, ND 58647-7310
Phone
(701) 579-5100
NPI assigned
Jun 8, 2023
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1661 ND Primary

Addresses

Primary practice location

440 McKenzie St
New England, ND 58647-7310

Mailing address

66 W Museum Dr
Dickinson, ND 58601-3864
Phone (701) 456-7790

Other practice location 1

66 W Museum Dr
Dickinson, ND 58601-3864
Phone (701) 456-7790

Other practice location 2

St. Joes Plaza
30 7th St W
Dickinson, ND 58601
Phone (701) 260-2105

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
1661NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Multi-County Correction Center Addiction (Substance Use Disorder) PastSince Jun 11, 2023 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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1659065811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W MUSEUM DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013864",
            "telephone_number": "701-456-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MCKENZIE ST",
            "city": "NEW ENGLAND",
            "state": "ND",
            "postal_code": "586477310",
            "telephone_number": "701-579-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 W Museum Dr",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586013864",
            "country_code": "US",
            "telephone_number": "701-456-7790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St. Joes Plaza",
            "address_2": "30 7th St W",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "58601",
            "country_code": "US",
            "telephone_number": "701-260-2105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUYLEN",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New England, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.