Organization Active NPI

Sana Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
National Provider Identifier
1851039945
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SANA WELLNESS LLC
Practice address
5005 1/2 34TH Ave S Unit 3
Minneapolis, MN 55417-1542
Phone
(612) 548-1543
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Diana Maria Loaiza Tangarife, LMFTNPI 1144694381
Title
Owner
Phone
(612) 770-1507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5005 1/2 34TH Ave S Unit 3
Minneapolis, MN 55417-1542

Mailing address

2101 Edinbrook CT
Brooklyn Park, MN 55443-3717
Phone (612) 770-1507

Other names 1

  • SANA WELLNESS LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250407000306 MN Part B Supplier - Clinic/Group Practice 6608390190 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

5005 34th Ave S
Unit 3
Minneapolis, MN 55417
Phone (612) 548-1543

1711 County Road B W
Ste 115S
Roseville, MN 55113
Phone (651) 249-5723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1851039945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EDINBROOK CT",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433717",
            "telephone_number": "612-770-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 1/2 34TH AVE S UNIT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171542",
            "telephone_number": "612-548-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LOAIZA TANGARIFE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-770-1507",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANA WELLNESS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.