Organization Active NPI

Tin Cup Counseling and Consultation

  • Clinical Social Worker
  • Starbuck, MN
National Provider Identifier
1073395414
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIN CUP COUNSELING AND CONSULTATION
Practice address
33254 State Highway 28
Starbuck, MN 56381-2029
Phone
(320) 200-5028
NPI assigned
Oct 19, 2023
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mr. Colter Combellick, MSW, LICSWNPI 1447989272
Title
President
Phone
(320) 200-5028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

33254 State Highway 28
Starbuck, MN 56381-2029

Mailing address

1210 Broadway St Ste 240
Alexandria, MN 56308-2664
Phone (320) 200-5028

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1073395414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BROADWAY ST STE 240",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082664",
            "telephone_number": "320-200-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33254 STATE HIGHWAY 28",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812029",
            "telephone_number": "320-200-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIN CUP COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "COMBELLICK",
        "authorized_official_first_name": "COLTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-200-5028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Practice Management Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1210 Broadway St Ste 240",
            "city": "Alexandria",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563082664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Starbuck, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.