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SARA ELIZABETH WALTER SHIHDANIAN MS, LMHC
NPI 1912404781
Counselor - Mental Health in Detroit Lakes, MN

Active since April 09, 2018Opted out of Medicare · through Jan 31, 2028
843 WASHINGTON AVE APT 202, DETROIT LAKES, MN 56501(612) 963-3861 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 8, 2025, Feb 11, 2021, Apr 9, 2018 (3 updates tracked since 2018).

About Sara Elizabeth Walter Shihdanian Ms, Lmhc NPPES

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

SARA ELIZABETH WALTER SHIHDANIAN MS, LMHC (NPI 1912404781) is an individual mental health provider in Detroit Lakes, Minnesota, licensed in Washington (60111072) and active in the NPI registry since April 2018. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1912404781
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA ELIZABETH WALTER SHIHDANIANCredential: MS, LMHC
Location Address843 WASHINGTON AVE APT 202Detroit Lakes, MN 56501-3057
Mailing Address1000 2nd Ave Ste 1770Seattle, WA 98104-1046 · (458) 215-1812
Phone(612) 963-3861
Sole ProprietorYes
Enumeration DateApril 9, 2018
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1912404781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WA · 60111072✔ Licensed in OR · R5175

Other Names 1

Former Name (1)Sara Elizabeth Rundlett

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sara Elizabeth Walter Shihdanian Ms, Lmhc 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 January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Sara Walter Shihdanian's NPI number?

The NPI number for Sara Walter Shihdanian is 1912404781. It was assigned to this individual provider in the NPPES registry on April 9, 2018. The provider is also known as Sara Elizabeth Rundlett.

Where is Sara Walter Shihdanian located?

Sara Walter Shihdanian practices at 843 Washington Ave Apt 202, Detroit Lakes, MN 56501. The listed phone number is (612) 963-3861.

What is Sara Walter Shihdanian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sara Walter Shihdanian enrolled in Medicare?

No. Sara Walter Shihdanian has opted out of Medicare through January 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 Sara Walter Shihdanian was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.