Individual provider Active NPI

Sarah Mahmoud Mehanna-Vasquez, MA, LMFT

  • Marriage & Family Therapist
  • Bloomington, MN
National Provider Identifier
1164004156
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4516 Issued in MN
Practice address
1550 American Blvd E Ste 550
Bloomington, MN 55425-3100
Phone
(612) 268-5858
NPI assigned
Apr 28, 2021
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 4516 MN Primary

Addresses

Primary practice location

1550 American Blvd E Ste 550
Bloomington, MN 55425-3100

Mailing address

6821 Cedar Ave S Unit 4
Minneapolis, MN 55423-2715
Phone (612) 432-9590

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
I20260302001892 MN Practitioner - Marriage and Family Therapist 5890277685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16346 Kruger LN
Eden Prairie, MN 55347-3817

7401 Metro Blvd
Suite 525
Edina, MN 55439-3006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4516MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Psychological Services, P.C. CurrentSince Mar 1, 2026 Accepting new patients

Locations

1550 American Blvd E
Ste 550
Bloomington, MN 55425
Phone (612) 504-2031

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1164004156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 CEDAR AVE S UNIT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232715",
            "telephone_number": "612-432-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 AMERICAN BLVD E STE 550",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554253100",
            "telephone_number": "612-268-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHANNA-VASQUEZ",
        "first_name": "SARAH",
        "middle_name": "MAHMOUD",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.