MADELINE RAE SANDEEN LPCC NPI 1063000883

NPI Information

  • NPI: 1063000883
  • Provider Name: MADELINE RAE SANDEEN, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1370 MENDOTA HEIGHTS RD
    MENDOTA HEIGHTS, MN
    ZIP 55120
  • Phone: (952) 260-3244

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NPI Details

Madeline Rae Sandeen, LPCC is a mental health counselor in Mendota Heights, MN. Madeline Rae Sandeen, LPCC NPI is 1063000883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1370 MENDOTA HEIGHTS RD
MENDOTA HEIGHTS, MN
ZIP 55120-281
Phone: (952) 260-3244

The NPI 1063000883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/7/2021 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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