Active NPI
Tina M Sacin, PHD, LPC
- Mental Health Counselor
- St Louis Park, MN
National Provider Identifier
1861836140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 01241
- Practice address
- Sacin Psychotherapy
4725 Excelsior
St Louis Park, MN 55416 - Phone
- (612) 746-8529
- Fax
- (612) 374-3323
- NPI assigned
- Apr 17, 2013
- Last updated
- Nov 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01241 | MN | |
| Mental Health Counselor | 101YM0800X | 01241 | MN | Primary |
Addresses
Primary practice location
Sacin Psychotherapy
4725 Excelsior
St Louis Park, MN 55416
Mailing address
Neighborhood Involvement Program
2431 Hennepin Ave
Minneapolis, MN 55405
Phone (612) 746-8529
Other names 1
- Tina M Livingston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01241 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park Heights, MN
- NPI 1538990288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1861836140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEIGHBORHOOD INVOLVEMENT PROGRAM",
"address_2": "2431 HENNEPIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55405",
"telephone_number": "612-746-8529",
"fax_number": "612-374-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SACIN PSYCHOTHERAPY",
"address_2": "4725 EXCELSIOR",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "612-746-8529",
"fax_number": "612-374-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACIN",
"first_name": "TINA",
"middle_name": "M",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "01241",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "01241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "LIVINGSTON",
"middle_name": "M",
"credential": "PHD, LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.