Individual provider Active NPI

Sarah Halls, MS, CCC-SLP

  • Speech-Language Pathologist
  • New Hope, MN
National Provider Identifier
1972004091
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10217 Issued in MN
Practice address
9220 Bass Lake Rd Ste 300
New Hope, MN 55428-3097
Phone
(651) 212-5146
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10217 MN Primary

Addresses

Primary practice location

9220 Bass Lake Rd Ste 300
New Hope, MN 55428-3097

Mailing address

9220 Bass Lake Rd Ste 300
New Hope, MN 55428-3097
Phone (510) 835-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102000599 MN Practitioner - Qualified Speech Language Pathologist 2769727361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10217MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Spirit Psychotherapy, LLC Speech-Language Pathologist CurrentSince Dec 30, 2024 Accepting new patients

Locations

3459 Washington Dr
Ste 102
Eagan, MN 55122
Phone (651) 212-5104

9220 Bass Lake Rd
Ste 300
New Hope, MN 55428
Phone (651) 212-5104

9220 Bass Lake Rd
Ste 305
New Hope, MN 55428
Phone (651) 212-5104

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1972004091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 300",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283097",
            "telephone_number": "510-835-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 300",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283097",
            "telephone_number": "651-212-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLS",
        "first_name": "SARAH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.