Individual provider Active NPI

Mariken Ellen Wogstad-Hansen, PHD, LP, RN, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Paul, MN
National Provider Identifier
1780700039
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
R0803692 Issued in MN
Practice address
91 Snelling Ave N
Suite 230
Saint Paul, MN 55104-6753
Phone
(651) 603-0540
Fax
(651) 603-0541
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP3116 MN
Psychologist 103T00000X LP3116 MN
Group Psychotherapy Psychologist 103TP2701X LP3116 MN
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X R0803692 MN
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R0803692 MN Primary

Addresses

Primary practice location

91 Snelling Ave N
Suite 230
Saint Paul, MN 55104-6753

Mailing address

91 Snelling Ave N
Suite 230
Saint Paul, MN 55104-6753
Phone (651) 603-0540

Other identifiers 2

IdentifierTypeStateIssuer
330L9WOOtherMNBLUE CROSS, RN, CNS
385K0WOOtherMNBLUE CROSS, PHD, LP

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)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
LP3116MNMDGroup Psychotherapy Psychologist
R0803692MNMDAdult Psychiatric/Mental Health Registered Nurse
3116MNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mariken Wogstad-Hansen, PHD, LLC Psychologist PastSince Mar 25, 2004 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780700039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SNELLING AVE N",
            "address_2": "SUITE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046753",
            "telephone_number": "651-603-0540",
            "fax_number": "651-603-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SNELLING AVE N",
            "address_2": "SUITE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046753",
            "telephone_number": "651-603-0540",
            "fax_number": "651-603-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGSTAD-HANSEN",
        "first_name": "MARIKEN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, RN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3116",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3116",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP3116",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R0803692",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "R0803692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, RN, CNS",
            "identifier": "330L9WO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, PHD, LP",
            "identifier": "385K0WO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.