Individual provider Active NPI

Sabreena Solway, MA, LMFT

  • Mental Health Counselor
  • Maple Grove, MN
National Provider Identifier
1619719879
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4468 Issued in MN
Practice address
7767 Elm Creek Blvd N Ste 220
Maple Grove, MN 55369-7067
Phone
(612) 516-5660
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4468 MN Primary

Addresses

Primary practice location

7767 Elm Creek Blvd N Ste 220
Maple Grove, MN 55369-7067

Mailing address

7767 Elm Creek Blvd N Ste 220
Maple Grove, MN 55369-7067

Other names 1

  • Sabreena Boyum 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
I20240628003428 MN Practitioner - Marriage and Family Therapist 6507300654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4468MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients
Ellie Family Services, PLLP CurrentSince Jun 1, 2024 Accepting new patients

Locations

7767 Elm Creek Blvd N
Ste 220
Maple Grove, MN 55369
Phone (612) 516-5660

7767 Elm Creek Blvd N
Ste 220240
Maple Grove, MN 55369

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

Organizations & group practices 2

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1619719879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N STE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 ELM CREEK BLVD N STE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697067",
            "telephone_number": "612-516-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLWAY",
        "first_name": "SABREENA",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABREENA",
            "last_name": "BOYUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.