Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sonja Theobald

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073129300

Sonja Theobald is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2008, 18 years ago. Practices with Mental Health Counseling Services LLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

615 1st Ave NE Ste 310
Minneapolis, MN 55413-2419
Phone: (612) 436-0295
Fax: (612) 436-0163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7748 (MN)

Record details

NPI number1073129300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mental Health Counseling Services Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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