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TINA WILMA SANBORN MSMFT
NPI 1093157133
Marriage & Family Therapist in Liberty, MO

Active since July 17, 2013Opted out of Medicare · through Jan 10, 2028
1170 W. KANSAS ST., LIBERTY, MO 64068(816) 351-7834 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Wilma Sanborn Msmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA WILMA SANBORN MSMFT (NPI 1093157133) is an individual marriage & family therapist in Liberty, Missouri, licensed in Missouri (2011012317) and active in the NPI registry since July 2013. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1093157133
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTINA WILMA SANBORNCredential: MSMFT
Location Address1170 W. KANSAS ST.Liberty, MO 64068
Mailing Address1806 Mansfield RdSaint Joseph, MO 64504 · (816) 351-7834
Phone(816) 351-7834
Sole ProprietorYes
Enumeration DateJuly 17, 2013
✔ NPI 1093157133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MO · 2011012317
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1170 W. KANSAS ST., Liberty, MO 64068
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tina Wilma Sanborn Msmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Sanborn's NPI number?

The NPI number for Tina Sanborn is 1093157133. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Tina Sanborn located?

Tina Sanborn practices at 1170 W. Kansas St., Liberty, MO 64068. The listed phone number is (816) 351-7834.

What is Tina Sanborn's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Tina Sanborn enrolled in Medicare?

No. Tina Sanborn has opted out of Medicare through January 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tina Sanborn was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.