Active NPI
Tamera Rae Mensink, MA, LMFT
- Marriage & Family Therapist
- Apple Valley, MN
National Provider Identifier
1144588591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2179
- Practice address
- 7600 143Rd St W
Suite 300
Apple Valley, MN 55124-5528 - Phone
- (651) 373-9440
- Fax
- (866) 712-6337
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2179 | MN | Primary |
Addresses
Primary practice location
7600 143Rd St W
Suite 300
Apple Valley, MN 55124-5528
Mailing address
13839 Addison Ave
Rosemount, MN 55068-3760
Phone (651) 373-9440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124417878 | Other | NPI 2 NUMBER |
Other names 1
- Mrs. Tamera Rae Flattum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
729 Washington Ave N
Suite 600
Minneapolis, MN 55401-1118
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamera Mensink TM Counseling LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
7600 143rd St W
Ste 300
Apple Valley, MN 55124
Phone (651) 373-9440
729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Apple Valley, MN
- NPI 1124417878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1144588591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13839 ADDISON AVE",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550683760",
"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",
"address_2": "SUITE 300",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551245528",
"telephone_number": "651-373-9440",
"fax_number": "866-712-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSINK",
"first_name": "TAMERA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_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": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMERA",
"last_name": "FLATTUM",
"middle_name": "RAE",
"prefix": "MRS.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}
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 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.