# NYSTROM & ASSOCIATES, LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Family Based Division, Sagent Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790872562
- **Authorized official:** ANN EIDEN (VP OF CORPORATE SERVICES)
- **Authorized official phone:** (651) 379-1750

## Contact information

- **Practice address:** 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
- **Practice address phone:** (651) 628-9253
- **Practice address fax:** (651) 631-8789
- **Mailing address:** 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
- **Mailing address phone:** (651) 628-9566
- **Mailing address fax:** (651) 628-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 10/21/2025