Victoria Tabolich, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1715 Tower Dr W
Suite 100
Stillwater, MN 55082-7609

Phone

(651) 390-5001

Fax

(651) 390-5002

NPI assigned

Aug 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1124852363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR W",
            "address_2": "SUITE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827609",
            "telephone_number": "651-390-5001",
            "fax_number": "651-390-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR W",
            "address_2": "SUITE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827609",
            "telephone_number": "651-390-5001",
            "fax_number": "651-390-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOLICH",
        "first_name": "VICTORIA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Swatfager
• Clinton Swenson
• Lyle James Swenson, MD
• Nancy Ann Swenson, DC
• Synertec
• Martin A Tahara, DMD, MD
• Tammy Bydlon Health Consultant
• Kimberly Sue Tatton, NP-C
• Angela Marie Tell
• Stacy Dayandra Tello Castro

• Professional Counselor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.