Individual provider Active NPI

Sonya L Knudson

  • Clinical Psychologist
  • Golden Valley, MN
National Provider Identifier
1811370729
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6199 Issued in MN
Practice address
8085 Wayzata Blvd Ste 215
Golden Valley, MN 55426-1457
Phone
(651) 387-5312
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2617 KS
Clinical Psychologist 103TC0700X 6199 MN Primary

Addresses

Primary practice location

8085 Wayzata Blvd Ste 215
Golden Valley, MN 55426-1457

Mailing address

8085 Wayzata Blvd Ste 215
Golden Valley, MN 55426-1457
Phone (651) 387-5312

Other practice location 1

325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005

Other practice location 2

4444 Centerville Rd Ste 235
White Bear Lake, MN 55127
Phone (651) 289-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 25, 2025 through Jun 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2617KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intuitive Therapy & Consulting, LLC PastSince Dec 27, 2020 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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1811370729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 215",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261457",
            "telephone_number": "651-387-5312",
            "fax_number": "651-493-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 215",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261457",
            "telephone_number": "651-387-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 SW Frazier Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061963",
            "country_code": "US",
            "telephone_number": "785-232-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4444 Centerville Rd Ste 235",
            "address_purpose": "LOCATION",
            "city": "White Bear Lake",
            "state": "MN",
            "postal_code": "55127",
            "country_code": "US",
            "telephone_number": "651-289-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "SONYA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2617",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "6199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.