Individual provider Active NPI

Christine J Tamez, MA, LMFT

  • Marriage & Family Therapist
  • New Brighton, MN
National Provider Identifier
1144657255
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3177 Issued in MN
Practice address
900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439
Phone
(651) 482-9361
Fax
(651) 482-9888
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 3177 MN Primary

Addresses

Primary practice location

900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439

Mailing address

900 Long Lake Rd Ste 320
New Brighton, MN 55112-6439
Phone (514) 829-3616

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
I20240116000282 MN Practitioner - Marriage and Family Therapist 9638521636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Arden Woods Psychological Services PAGroup PAC ID 3173429214, 15 clinicians

Practice addresses (Care Compare)

900 Long Lake Rd
Suite 320
New Brighton, MN 55112-6439
Phone (651) 482-9361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3177MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arden Woods Psychological Services PA CurrentSince Jan 1, 2024 Accepting new patients
Family Innovations, Inc. Marriage & Family Therapist PastSince Aug 6, 2019 Accepting new patients

Locations

900 Long Lake Rd
Ste 320
Saint Paul, MN 55112
Phone (651) 482-9361

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1144657255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 320",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126439",
            "telephone_number": "514-829-3616",
            "fax_number": "651-482-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD STE 320",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126439",
            "telephone_number": "651-482-9361",
            "fax_number": "651-482-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMEZ",
        "first_name": "CHRISTINE",
        "middle_name": "J",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

Verify at the official NPI Registry.