Active NPI
Erika Tyyne Pieniniemi, MPS, LPCC, LADC
- Mental Health Counselor
- Roseville, MN
National Provider Identifier
1114589777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3359
- Practice address
- 1935 County Road B2 W Ste 240
Roseville, MN 55113-2722 - Phone
- (763) 600-7572
- Fax
- (844) 407-4565
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305459 | MN | |
| Mental Health Counselor | 101YM0800X | 3359 | MN | Primary |
Addresses
Primary practice location
1935 County Road B2 W Ste 240
Roseville, MN 55113-2722
Mailing address
1935 County Road B2 W Ste 240
Roseville, MN 55113-2722
Phone (763) 600-7572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305459 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 3359 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1114589777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 COUNTY ROAD B2 W STE 240",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132722",
"telephone_number": "763-600-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 COUNTY ROAD B2 W STE 240",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132722",
"telephone_number": "763-600-7572",
"fax_number": "844-407-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIENINIEMI",
"first_name": "ERIKA",
"middle_name": "TYYNE",
"credential": "MPS, LPCC, LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2022-09-18",
"certification_date": "2022-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305459",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "3359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.