Sapphire Counseling & Therapeutic

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SAPPHIRE COUNSELING & THERAPEUTIC

Practice address

100 Oak Ave SW Ste 4
Montgomery, MN 56069-1243

Phone

(952) 444-9771

Fax

(952) 444-9771

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Mary Lee Schrader, LMFTNPI 1770037491

Title

Owner

Phone

(612) 221-5476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Lee Schrader, MFT

  • Marriage & Family Therapist
  • Montgomery, MN
  • NPI 1770037491
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1760945539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BRADBURY CIR",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521466",
            "telephone_number": "612-221-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OAK AVE SW STE 4",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691243",
            "telephone_number": "952-444-9771",
            "fax_number": "952-444-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE COUNSELING & THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "MARY LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-221-5476",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Montgomery, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.