Individual provider Active NPI

Sandra Flores Robles, MFT

  • Marriage & Family Therapist
  • New Hope, MN
National Provider Identifier
1750231080
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4639 Issued in MN
Practice address
4900 Highway 169 N Ste 220
New Hope, MN 55428-4058
Phone
(612) 836-2936
Fax
(763) 762-6911
NPI assigned
Jan 28, 2026
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 4639 MN Primary

Addresses

Primary practice location

4900 Highway 169 N Ste 220
New Hope, MN 55428-4058

Mailing address

4900 Highway 169 N Ste 220
New Hope, MN 55428-4058
Phone (612) 836-2936

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
I20260609003424 MN Practitioner - Marriage and Family Therapist 9133690209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4900 Hwy 169 N
Suite 220
New Hope, MN 55428-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4639MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lineage Counseling Marriage & Family Therapist CurrentSince Apr 1, 2026 Accepting new patients

Locations

4900 Highway 169 N
Ste 220
New Hope, MN 55428
Phone (612) 217-0084

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": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1750231080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 220",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284058",
            "telephone_number": "612-836-2936",
            "fax_number": "763-762-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 220",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284058",
            "telephone_number": "612-836-2936",
            "fax_number": "763-762-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES ROBLES",
        "first_name": "SANDRA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.