SYDNEY LYNN JOHANSEN
NPI 1659241479
Counselor - Professional in Mankato, MN

Active since November 06, 2025PECOS Enrolled
816 S FRONT ST, MANKATO, MN 56001(507) 828-9001 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sydney Lynn Johansen NPPES

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

SYDNEY LYNN JOHANSEN (NPI 1659241479) is an individual professional provider in Mankato, Minnesota and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659241479
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSYDNEY LYNN JOHANSEN
Location Address816 S FRONT STMankato, MN 56001-2401
Mailing Address924 N 2nd StMankato, MN 56001-3320 · (507) 828-9001
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1659241479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
816 S FRONT ST, Mankato, MN 56001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Lynn Johansen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062985823
PECOS Enrollment IDI20260623003337
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.

Medicare Billing Reassignment

Medicare enrollment records show Sydney Johansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
530 N RIVERFRONT DR STE 130
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment

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

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
816 S FRONT ST
MANKATO, MN 56001
Counselor (Professional)
816 S FRONT ST
MANKATO, MN 56001
Counselor (Professional)
816 S FRONT ST
MANKATO, MN 56001
Counselor (Professional)
816 S FRONT ST
MANKATO, MN 56001

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 Johansen's NPI number?

The NPI number for Sydney Johansen is 1659241479. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Sydney Johansen located?

Sydney Johansen practices at 816 S Front St, Mankato, MN 56001. The listed phone number is (507) 828-9001.

What is Sydney Johansen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sydney Johansen enrolled in Medicare?

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

Which organization bills Medicare for Sydney Johansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Johansen reassigns Medicare benefits to New Pathways Counseling PLLC (Mankato, MN). The 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 Sydney Johansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sydney Johansen was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.