Individual provider Active NPI

Diana Maria Loaiza Tangarife, MA

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1144694381
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2892 Issued in MN
Practice address
5005 1/2 34TH Ave S Unit 3
Minneapolis, MN 55417-1542
Phone
(612) 548-1543
NPI assigned
Nov 28, 2015
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 2892 MN Primary

Addresses

Primary practice location

5005 1/2 34TH Ave S Unit 3
Minneapolis, MN 55417-1542

Mailing address

2101 Edinbrook CT
Brooklyn Park, MN 55443-3717
Phone (612) 770-1507

Other practice location 1

701 Decatur Ave N
Suite 109
Golden Valley, MN 55427-4367
Phone (763) 746-2408

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
I20250407000349 MN Practitioner - Marriage and Family Therapist 2961926456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Wellness LLC CurrentSince Feb 5, 2025 Accepting new patients

Locations

5005 34th Ave S
Unit 3
Minneapolis, MN 55417
Phone (612) 548-1543

1711 County Road B W
Ste 115S
Roseville, MN 55113
Phone (651) 249-5723

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1144694381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EDINBROOK CT",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433717",
            "telephone_number": "612-770-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 1/2 34TH AVE S UNIT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171542",
            "telephone_number": "612-548-1543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Decatur Ave N",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "554274367",
            "country_code": "US",
            "telephone_number": "763-746-2408",
            "fax_number": "763-746-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOAIZA TANGARIFE",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-28",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.