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SELAH WELLNESS CENTER LLC
NPI 1619774783
Clinic/Center - Multi-Specialty in Sandstone, MN

Active since February 26, 2025
501 MAIN ST, SANDSTONE, MN 55072(320) 372-2312 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Feb 26, 2025 (2 updates tracked since 2025).

About Selah Wellness Center Llc NPPES

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

SELAH WELLNESS CENTER LLC (NPI 1619774783) is a healthcare organization registered as a multi-specialty in Sandstone, Minnesota and active in the NPI registry since February 2025. The organization maintains 2 additional practice locations and lists Naomi Koenig, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619774783
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSELAH WELLNESS CENTER LLC
Location Address501 MAIN STSandstone, MN 55072-4410
Mailing Address501 Main StSandstone, MN 55072-4410
Phone(320) 372-2312
Organization SubpartNo
Authorized OfficialNaomi KoenigCeo · (320) 372-2323
Enumeration DateFebruary 26, 2025
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1619774783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
501 MAIN ST, Sandstone, MN 55072
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Secondary Practice Locations 2

Location 11300 Northridge Ct NWPine City, MN 55063-5821 · Phone (320) 372-2312
Location 212760 Lake BlvdLindstrom, MN 55045-9342 · Phone (320) 372-2312

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selah Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Selah Wellness Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Danielle Carlin, CNP
Nurse Practitioner
NPI 1962946509
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts MedicareSame address
Shelly Kuhlmann, NP
Nurse Practitioner
NPI 1215797113
501 MAIN ST
Sandstone, MN 55072
(320) 373-2323
✔ PECOS✔ Accepts MedicareSame address
Karron Cohoon, APRN, CNP
Nurse Practitioner
NPI 1902379613
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare13 mi
Naomi Koenig, APRN,FNP-C, PMHNP-BC
Nurse Practitioner
NPI 1659893170
501 MAIN STREET
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare19 mi
Joleen Peters, APRN, CNP, PMHNP-BC
Nurse Practitioner
NPI 1023845377
501 MAIN ST
Sandstone, MN 55072
(320) 372-2323
✔ PECOS✔ Accepts Medicare19 mi
Joshua Larsen, LICSW
Clinical Social Worker
NPI 1366214488
23 PINE ST N
Mora, MN 55051
(320) 679-6964
✔ PECOS38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Selah Wellness Center LLC's NPI number?

The NPI number for Selah Wellness Center LLC is 1619774783. It was assigned to this organization in the NPPES registry on February 26, 2025.

Where is Selah Wellness Center LLC located?

Selah Wellness Center LLC is located at 501 Main St, Sandstone, MN 55072. The listed phone number is (320) 372-2312.

What is Selah Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Selah Wellness Center LLC enrolled in Medicare?

Yes. Selah Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Selah Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Selah Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Clinical Social Worker (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Selah Wellness Center LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.