Andrea Alescha Scharlatt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1512 Issued in MN

Practice address

7250 Hudson Blvd N Ste 205
Oakdale, MN 55128-7162

Phone

(651) 447-3605

NPI assigned

Dec 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Andrea Scharlatt Raich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 9, 2024 through Feb 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cardinal Psychotherapy, LLC

  dba Cardinal Psychotherapy & Coaching

  • Mental Health Counselor
  • Oakdale, MN
  • NPI 1558768895
  NPD Authorized official

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

{
    "created_epoch": "1387670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1790106565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 HUDSON BLVD N STE 205",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287162",
            "telephone_number": "651-447-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 HUDSON BLVD N STE 205",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287162",
            "telephone_number": "651-447-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARLATT",
        "first_name": "ANDREA",
        "middle_name": "ALESCHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-22",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "1512",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1512",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "RAICH",
            "middle_name": "SCHARLATT",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana Sanchez, BS
• Titilayo Adebayo Sanni
• Sara Mabie OD PA
• Gabrielle Sawicki
• Cordese Saysay
• Ana Schildknecht
• John Schipke, LICSW
• Jennifer A Schmidt, MA
• Victoria Rae Seamon, MA, LPCC
• Serene Stepping Stones LPPC

• Mental Health Counselor in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.