Tanglefish Emotional Healing LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TANGLEFISH EMOTIONAL HEALING LLC

Practice address

821 Raymond Ave Ste 300
Saint Paul, MN 55114-1525

Phone

(612) 213-4510

Fax

(612) 361-5464

NPI assigned

May 28, 2022

Organization subpart

No

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

Authorized official

Name

Andrea E Grey, MSW LICSWNPI 1982258125

Title

Owner

Phone

(612) 213-4510

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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

• Andrea E Grey, MSW LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1982258125
  Medicare reassignment NPD Authorized official
• Terra Sorg, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1932504685
  NPD (past)

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

{
    "created_epoch": "1653696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1003555046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "612-213-4510",
            "fax_number": "612-361-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "612-213-4510",
            "fax_number": "612-361-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3437 18th Ave S Apt 2",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554072766",
            "country_code": "US",
            "telephone_number": "612-213-4510",
            "fax_number": "612-361-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TANGLEFISH EMOTIONAL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-28",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-213-4510",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1982258125",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea@tanglefish.llc",
            "affiliation": "N",
            "endpointDescription": "company email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 Raymond Ave Ste 300",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551141525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen R Tan, MD
• Diane Sione Tanabe, MD
• Akiko Tanaka, PH.D., L.P,
• Travis Tanberg
• Lilian Shun Ning Tang
• Tani Eye Associates & Clinic PA
• Kallie Taniguchi
• Marshall H Taniguchi, MD
• Aboubacar Tanimoune
• Connie Tanner

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.