SARA JOANNE PAHL (BCBA, LPCC) – Behavior Analyst, NPI 1194085746

SARA JOANNE PAHL (BCBA, LPCC) is a healthcare provider. based in Saint paul, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials BCBA, LPCC. They hold a License No. CC01517 (MN). The NPI Number for SARA JOANNE PAHL (BCBA, LPCC) is 1194085746

Main info

Female
13 Years Of Experience
Name
SARA JOANNE PAHL (BCBA, LPCC)
NPI
1194085746
Phone
(651) 647-1083
Address
2380 Wycliff St Ste 102
Enumeration Date
16 May 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516471083
Graduation Year
2013 (13 years ago)
PAC ID
4486091311
Group Practice PAC ID
8224921242
Professional Enrollment ID
I20240327000920
Address ID
MN551141257SA2380XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for SARA JOANNE PAHL (BCBA, LPCC)

  • 2380 Wycliff St Ste 102

    Saint Paul, MN 551141257

    Phone: (651) 647-1083

    Type: Location

  • 2380 WYCLIFF ST STE 102

    SAINT PAUL, MN 551141257

    Phone: (651) 647-1083

    Type: Mailing

  • 4524 TERRACEWOOD DR

    BLOOMINGTON, MN 554373444

    Phone: (206) 226-7919

    Type: Mailing

  • 10450 185TH ST W STE 100

    LAKEVILLE, MN 550446696

    Phone: (612) 509-6690

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240327000920IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224921242View full group profile
NameSpecialtyState
-MN
Clinical PsychologistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What NPI should I save for SARA JOANNE PAHL (BCBA, LPCC)?
Save NPI 1194085746 if you need a stable reference for SARA JOANNE PAHL (BCBA, LPCC).
Is SARA JOANNE PAHL (BCBA, LPCC) currently active in the NPI registry?
CMS-published data lists SARA JOANNE PAHL (BCBA, LPCC) as an active registrant.
Can you summarize SARA JOANNE PAHL (BCBA, LPCC)'s specialty in plain language?
Clinically, the directory lists SARA JOANNE PAHL (BCBA, LPCC) with Behavior Analyst. Clinical services aligned with this taxonomy classification.
Where does public data place SARA JOANNE PAHL (BCBA, LPCC)?
The snapshot lists Saint Paul, Minnesota for SARA JOANNE PAHL (BCBA, LPCC); download NPPES for the complete set.
What if Saint Paul, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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