Tina Watson Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TINA WATSON THERAPY

Practice address

9393 55TH St N
Lake Elmo, MN 55042-8505

Phone

(651) 283-4153

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Tina R Wiens

Title

Owner

Phone

(651) 283-4153

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tina Watson Wiens, MA, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
  • NPI 1093895310
  NPD

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1023723004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 55TH ST N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428505",
            "telephone_number": "651-283-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 55TH ST N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428505",
            "telephone_number": "651-283-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA WATSON THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-283-4153"
    },
    "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": []
}

• Ellen Marie Thornburg, DPT
• Thrive Behavioral Network III, LLC
• Thrive Behavioral Network III, LLC
• Thrive HQ
• Mark L Thurnbeck, OTR
• Fatima A Tiwana, BDS
• Marta Marie Tolefree, LICSW
• Twin Cities Mental Health and Couples Center LLC
• Unity Care Limited
• Jacqueline Marie Valek, LPC, LPCC, NCC, LSC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.