Individual provider Active NPI

Sarah Joy Linde McClaren, LMFT

  • Marriage & Family Therapist
  • Ramsey, MN
National Provider Identifier
1750766036
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3112 Issued in MN
Practice address
14818 Waco St NW
Ramsey, MN 55303-6186
Phone
(952) 913-3067
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 3112 MN Primary

Addresses

Primary practice location

14818 Waco St NW
Ramsey, MN 55303-6186

Mailing address

14818 Waco St NW
Ramsey, MN 55303-6186

Other practice location 1

299 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433-5869
Phone (651) 240-2206

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
I20240220000893 MN Practitioner - Marriage and Family Therapist 8123462041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3112MNMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Program P C CurrentSince Jan 7, 2024 Accepting new patients
Vayda Mental Health Collaborative PLLC PastSince Aug 23, 2020 Accepting new patients

Locations

2265 Como Ave
Saint Paul, MN 55108

Organizations & group practices 2

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1750766036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14818 WACO ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14818 WACO ST NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036186",
            "telephone_number": "952-913-3067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Coon Rapids Blvd NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554335869",
            "country_code": "US",
            "telephone_number": "651-240-2206",
            "fax_number": "612-446-5766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAREN",
        "first_name": "SARAH",
        "middle_name": "JOY LINDE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, MN

Sources for this page

Verify at the official NPI Registry.