Sacred Space Psychotherapy

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SACRED SPACE PSYCHOTHERAPY

Practice address

8120 Penn Ave S
Bloomington, MN 55431-1358

Phone

(612) 802-9725

NPI assigned

May 26, 2026

Last updated

May 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristine Lynn Martin, LPCCNPI 1366717415

Title

Owner

Phone

(612) 802-9725

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Lynn Martin, MA LPCC

  • Professional Counselor
  • Minneapolis, MN
  • NPI 1366717415
  NPD Authorized official

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1952232365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 IRVING AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191636",
            "telephone_number": "612-802-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 PENN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311358",
            "telephone_number": "612-802-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-802-9725",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Kay Saal
• Alyssa Saatzer, M.A., OTR/L
• Leonardo A Saavedra, MD
• Syrah May Velasco Sabio
• Rosalie Elizabeth Sack
• Saeed Saeed, RN
• Yumna Saeed, M.D.
• Safa Transportation Services LLC
• Safety Center Inc
• Safety Center Inc

• Multi-Specialty Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Multi-Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.