Individual provider Active NPI

Sara Lahti, MA

  • Counselor
  • Saint Paul, MN
National Provider Identifier
1669950606
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257
Phone
(651) 647-1083
Fax
(651) 642-1230
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257

Mailing address

2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257
Phone (651) 647-1083

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
I20240227004440 MN Practitioner - Mental Health Counselor 3779928973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Autism Society of MinnesotaGroup PAC ID 8224921242, 5 clinicians

Practice addresses (Care Compare)

2380 Wycliff St
Suite 102
Saint Paul, MN 55114-1257
Phone (651) 647-1083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Society of Minnesota CurrentSince Jan 14, 2024 Accepting new patients

Locations

2380 Wycliff St
Ste 102
Saint Paul, MN 55114
Phone 6516471083 ext. 17

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1669950606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "651-647-1083",
            "fax_number": "651-642-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "651-647-1083",
            "fax_number": "651-642-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHTI",
        "first_name": "SARA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.