Individual provider Active NPI

Tracy Ronning, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1083003271
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2810 Issued in MN
Practice address
1619 Portland Ave
Minneapolis, MN 55404-1507
Phone
(612) 373-3366
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2810 MN Primary

Addresses

Primary practice location

1619 Portland Ave
Minneapolis, MN 55404-1507

Mailing address

4225 Drew Ave N
Robbinsdale, MN 55422-1549
Phone (763) 746-6626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204001511 MN Practitioner - Marriage and Family Therapist 3577041169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4225 Drew Ave N
Robbinsdale, MN 55422-1549

740 E 24TH St
Minneapolis, MN 55404-3862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Teen Challenge, Inc CurrentSince Dec 6, 2025 Accepting new patients
True Change Counseling LLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

2756 Douglas Dr N
Minneapolis, MN 55422
Phone (763) 544-9126

740 E 24th St
Minneapolis, MN 55404
Phone (612) 238-6238

2365 Ariel St N
Saint Paul, MN 55109
Phone (612) 777-8987

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1083003271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 DREW AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221549",
            "telephone_number": "763-746-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041507",
            "telephone_number": "612-373-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNING",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.