Active NPI
Tessa Gittleman, LMFT
- Marriage & Family Therapist
- Golden Valley, MN
National Provider Identifier
1073142444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3573
- Practice address
- 5851 Duluth St Unit 300
Golden Valley, MN 55422-3946 - Phone
- (612) 440-8377
- Fax
- (612) 440-2187
- NPI assigned
- Apr 7, 2020
- Last updated
- Dec 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3573 | MN | Primary |
Addresses
Primary practice location
5851 Duluth St Unit 300
Golden Valley, MN 55422-3946
Mailing address
5851 Duluth St Unit 300
Golden Valley, MN 55422-3946
Phone (612) 440-8377
Other names 1
- Tessa Kai Gittleman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 1, 2024 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Counseling, PLLC. | Past | Accepting new patients |
Organizations & group practices 2
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 Counselor
- Minneapolis, MN
- NPI 1417547951
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minnetonka, MN
- NPI 1598186330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1073142444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 DULUTH ST UNIT 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223946",
"telephone_number": "612-440-8377",
"fax_number": "612-440-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5851 DULUTH ST UNIT 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223946",
"telephone_number": "612-440-8377",
"fax_number": "612-440-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTLEMAN",
"first_name": "TESSA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESSA",
"last_name": "GITTLEMAN",
"middle_name": "KAI",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.