Individual provider Active NPI

Tamera Rae Mensink, MA, LMFT

  • Marriage & Family Therapist
  • Apple Valley, MN
National Provider Identifier
1144588591
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2179 Issued in MN
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

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1124417878OtherNPI 2 NUMBER

Other names 1

  • Mrs. Tamera Rae Flattum Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000929 MN Practitioner - Marriage and Family Therapist 3274977749 Reassigns benefits to 3 organizations

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
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

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

OrganizationSpecialtyStatusNew patients
Tamera Mensink TM Counseling LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.