NPIMap

Organization Active NPI

Tamera Mensink TM Counseling LLC

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1124417878
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2179 Issued in MN
Legal business name
TAMERA MENSINK TM COUNSELING LLC
Practice address
7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529
Phone
(651) 373-9440
Fax
(866) 712-6334
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamera Rae Mensink, LMFTNPI 1144588591
Title
Owner
Phone
(651) 373-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 2179 MN Primary

Addresses

Primary practice location

7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529

Mailing address

7600 143Rd St W Ste 300
Apple Valley, MN 55124-5529
Phone (651) 373-9440

Other identifiers 2

IdentifierTypeStateIssuer
1124417878OtherMNNPI 2 NUMBER
1144588591OtherMNINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223000757 MN Part B Supplier - Clinic/Group Practice 0749624211 Receives reassigned benefits from 8 practitioners
Practice locations: Apple Valley, MN

National Provider Directory

National Provider Directory

Locations

7600 143rd St W
Ste 300
Apple Valley, MN 55124
Phone (651) 373-9440

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1124417878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 143RD ST W STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245529",
            "telephone_number": "651-373-9440",
            "fax_number": "866-712-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 143RD ST W STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245529",
            "telephone_number": "651-373-9440",
            "fax_number": "866-712-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMERA MENSINK TM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "MENSINK",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-373-9440",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2 NUMBER",
            "identifier": "1124417878",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1144588591",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.