Lynette Mary Sickler, LADC, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00008 Issued in MN

Practice address

325 33Rd Ave N Ste 103
Saint Cloud, MN 56303-1929

Phone

(320) 253-3715

Fax

(320) 252-2567

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Psychotherapeutic Resources LLPGroup PAC ID 3678523008, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Psychotherapeutic Resources LLP

  • Adult Mental Health Clinic/Center
  • Saint Cloud, MN
  • NPI 1619059755
  Medicare reassignment Care Compare group NPD
• Stephen Jenkins PHD Abpp LP PLLC

  • Clinical Psychologist
  • Saint Cloud, MN
  • NPI 1942870001
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1831175223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 33RD AVE N STE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031929",
            "telephone_number": "320-253-3715",
            "fax_number": "320-252-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 33RD AVE N STE 103",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031929",
            "telephone_number": "320-253-3715",
            "fax_number": "320-252-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLER",
        "first_name": "LYNETTE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300034",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "00008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Shuster, MD
• Julie Gail Shuster
• Mary Joy L Sia Su, MD
• Walter Lo Sia Su, MD
• Alan R. Sias, AUD
• Nicole Marie Sieben
• Deidra Sieck, MD
• Hamda A Sied
• Lauren Siemers, MSW, LICSW
• Royann M Sienko, RN

• Mental Health Counselor in Saint Cloud, MN
• Providers in Saint Cloud, 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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.