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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYDNEY SHAE JOHNSON LMFT
NPI 1043975964
Marriage & Family Therapist in Baxter, MN

Active since November 04, 2021PECOS Enrolled
13045 FALCON DR STE 100, BAXTER, MN 56425(218) 829-9307(218) 829-7649 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 19, 2026, Nov 4, 2021 (2 updates tracked since 2021).

About Sydney Shae Johnson Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYDNEY SHAE JOHNSON LMFT (NPI 1043975964) is an individual marriage & family therapist in Baxter, Minnesota, licensed in Minnesota (4144) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043975964
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSYDNEY SHAE JOHNSONCredential: LMFT
Location Address13045 FALCON DR STE 100Baxter, MN 56425-4201
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(218) 829-9307
Fax(218) 829-7649
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 4, 2021
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1043975964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 4144
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
13045 FALCON DR STE 100, Baxter, MN 56425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Shae Johnson Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799254538
PECOS Enrollment IDI20260521000058
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD ALAN YURICK MSW, LGSW
Social Worker
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (844) 820-7391
KATHERINE ROSE HABERKORN LICSW
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
KELBY OLSON-RODEL
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (320) 219-9228
DR. KEVIN JAMES EDWARDS PH.D.
Psychologist (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
STEPHANIE SARAZINE PMHNP-BC, CNP
Psychiatry & Neurology (Psychiatry)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
MRS. KARLI HELLER
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
SAMANTHA ANN HUGUELET CNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
EVONNE SIROIS MSW, LICSW
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Johnson's NPI number?

The NPI number for Sydney Johnson is 1043975964. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Sydney Johnson located?

Sydney Johnson practices at 13045 Falcon Dr Ste 100, Baxter, MN 56425. The listed phone number is (218) 829-9307.

What is Sydney Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sydney Johnson enrolled in Medicare?

Yes. Sydney Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Johnson was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.