Active NPI
Kathleen Sabbann
- Marriage & Family Therapist
- Minnetonka, MN
National Provider Identifier
1235946526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4442
- Practice address
- 5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157 - Phone
- (952) 932-7277
- Fax
- (952) 932-9827
- NPI assigned
- Dec 11, 2024
- 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 | 4442 | MN | Primary |
Addresses
Primary practice location
5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Mailing address
5060 Juneau LN N
Plymouth, MN 55446-3796
Phone (612) 695-1555
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4442 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relate Inc | Current | Accepting new patients |
Locations
7700 Equitable Dr
Ste 100
Eden Prairie, MN 55344
5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (763) 241-3400
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1235946526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 JUNEAU LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463796",
"telephone_number": "612-695-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 COUNTY ROAD 101 STE 300",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553454157",
"telephone_number": "952-932-7277",
"fax_number": "952-932-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABBANN",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "4442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.