Individual provider Active NPI

Sara Sundquist Castle, MPS, LPCC, LADC

  • Mental Health Counselor
  • Grand Rapids, MN
National Provider Identifier
1801428511
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC02353 Issued in MN
Practice address
1215 SE 7TH Ave
Grand Rapids, MN 55744-4201
Phone
(218) 313-1339
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC02353 MN Primary

Addresses

Primary practice location

1215 SE 7TH Ave
Grand Rapids, MN 55744-4201

Mailing address

215 SE 2ND Ave
Grand Rapids, MN 55744-3615
Phone (218) 313-1339

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sSundquist-Castle@northlandcounseling.org
Other URL @northlandcounseling.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC02353MNMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: ssundquist-castle@northlandcounseling.org

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1801428511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443615",
            "telephone_number": "218-313-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SE 7TH AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444201",
            "telephone_number": "218-313-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDQUIST CASTLE",
        "first_name": "SARA",
        "credential": "MPS, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sSundquist-Castle@northlandcounseling.org",
            "affiliation": "N",
            "address_1": "1215 SE 7th Ave",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557444201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@northlandcounseling.org",
            "affiliation": "N",
            "address_1": "1215 SE 7th Ave",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557444201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.