Hana Subasic-Sullivan, MA,LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3864 Issued in MN

Practice address

1611 County Road B W Ste 202
Roseville, MN 55113-4053

Phone

(651) 300-1112

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Luminous Mind Inc

  dba The Luminous Mind

  • Community/Behavioral Health Agency
  • Roseville, MN
  • NPI 1588015168
  NPD
• The Institute for Relational Well-Being

  dba Relational Therapy Collective

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1649769035
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1558958561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 202",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "651-300-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 202",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "651-300-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBASIC-SULLIVAN",
        "first_name": "HANA",
        "credential": "MA,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Stratton, MA, THD
• Tracey Lue Stretch, BC-HIS
• Kelsey Kathleen Strub
• Sarah Studley
• Jean Stumpf
• Shree Krishna Subedi, MD
• Suburban Imaging, LLC
• Suburban Radiologic Consultants, LTD.
• Suite Living Senior Care of Roseville
• Suite Living Senior Management

• Marriage & Family Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.