SARAH ANN SOUDER JOHNSON M.ED.
NPI 1346619996
Counselor in St. Paul, MN

Active since September 24, 2015Opted out of Medicare · through Mar 31, 2028
670 CLEVELAND AVE S, SENTIER PSYCHOTHERAPY, ST. PAUL, MN 55116(763) 913-8261 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sarah Ann Souder Johnson M.ed. NPPES

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

SARAH ANN SOUDER JOHNSON M.ED. (NPI 1346619996) is an individual counselor in St. Paul, Minnesota, licensed in Minnesota (865) and active in the NPI registry since September 2015. She has opted out of Medicare through March 31, 2028.

NPPES Registry Identity

NPI1346619996
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSARAH ANN SOUDER JOHNSONCredential: M.ED.
Location Address670 CLEVELAND AVE S, SENTIER PSYCHOTHERAPYSt. Paul, MN 55116
Mailing Address1421 Midway PkwySaint Paul, MN 55108-2419 · (612) 799-4619
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
NPI 1346619996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MN · 865
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
670 CLEVELAND AVE S, St. Paul, MN 55116

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sarah Ann Souder Johnson M.ed. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2026 through March 31, 2028.

Opt-Out Effective DateMarch 31, 2026
Opt-Out In Effect ThroughMarch 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Social Worker
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Clinical Neuropsychologist
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Social Worker (Clinical)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Social Worker (Clinical)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Counselor (Professional)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Dentist (General Practice)
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Clinic/Center (Mental Health (Including Community Mental Health Center))
670 CLEVELAND AVE S
SAINT PAUL, MN 55116
Marriage & Family Therapist
670 CLEVELAND AVE S
SAINT PAUL, MN 55116

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 Sarah Johnson's NPI number?

The NPI number for Sarah Johnson is 1346619996. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Sarah Johnson located?

Sarah Johnson practices at 670 Cleveland Ave S Sentier Psychotherapy, St. Paul, MN 55116. The listed phone number is (763) 913-8261.

What is Sarah Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Sarah Johnson enrolled in Medicare?

No. Sarah Johnson has opted out of Medicare through March 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sarah Johnson was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.