Individual provider Active NPI

William J Sieben

  • Marriage & Family Therapist
  • Isanti, MN
National Provider Identifier
1659150845
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4510 Issued in MN
Practice address
201 West Main St.
Isanti, MN 55040
Phone
(763) 600-2911
Fax
(763) 244-1243
NPI assigned
Sep 26, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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 4510 MN Primary

Addresses

Primary practice location

201 West Main St.
Isanti, MN 55040

Mailing address

PO Box 23
Isanti, MN 55040-0023
Phone (763) 600-2911

Other practice location 1

9623 192nd Ave NE
Wyoming, MN 55092-6800
Phone (763) 333-9838

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
I20240102001976 MN Practitioner - Marriage and Family Therapist 1850741901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Circle Counseling LLCGroup PAC ID 9638552813, 11 clinicians

Practice addresses (Care Compare)

201 Main St W
Isanti, MN 55040-7137
Phone (763) 600-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4510MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Circle Counseling, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1659150845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400023",
            "telephone_number": "763-600-2911",
            "fax_number": "763-244-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST MAIN ST.",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "55040",
            "telephone_number": "763-600-2911",
            "fax_number": "763-244-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9623 192nd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MN",
            "postal_code": "550926800",
            "country_code": "US",
            "telephone_number": "763-333-9838",
            "fax_number": "763-333-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBEN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

Verify at the official NPI Registry.