Stephanie A. G. Sandahl, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00369 Issued in MN

Practice address

731 Western Ave
Fergus Falls, MN 56537-4804

Phone

(218) 736-5431

Fax

(218) 739-4807

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Social Service of MinnesotaGroup PAC ID 1951202019, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Lutheran Social Service of Minnesota

  • Community/Behavioral Health Agency
  • Saint Cloud, MN
  • NPI 1629192430
  Medicare reassignment Care Compare group NPD
• Generations, Inc Counseling Associates

  • Clinical Psychologist
  • Fergus Falls, MN
  • NPI 1780600189

  Professional

  NPD (past)
• Lutheran Social Service of Minnesota

  • Case Management Agency
  • Fergus Falls, MN
  • NPI 1396938742
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1881782530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WESTERN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565374804",
            "telephone_number": "218-736-5431",
            "fax_number": "218-739-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 WESTERN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565374804",
            "telephone_number": "218-736-5431",
            "fax_number": "218-739-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAHL",
        "first_name": "STEPHANIE",
        "middle_name": "A. G.",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00257",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00369",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lssmn.org",
            "affiliation": "N",
            "address_1": "731 Western Ave",
            "city": "Fergus Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565374804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelly Rae Sagerhorn, RN
• Michelle Lee Salwei, RN
• Svetlana Konstantinovna Sampson, DDS
• Scott H Samson, MD
• Taylor Samuelson
• David J Sanderson Jr., MD
• Paul Sanderson, MS
• Brandon Saxton
• Kathleen R. Schara, PSY.D.
• Brenda Lea Schleske, LICSW

• Mental Health Counselor in Fergus Falls, MN
• Providers in Fergus Falls, 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 Aug 12, 2024; 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.