Active NPI
Amy Johnson Tremain, LP
- Counseling Psychologist
- Rochester, MN
National Provider Identifier
1154615193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP4160
- Practice address
- 3228 6TH Ave NE Unit B
Rochester, MN 55906 - Phone
- (507) 226-4576
- Fax
- (507) 258-5000
- NPI assigned
- Jun 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP4160 | MN | Primary |
Addresses
Primary practice location
3228 6TH Ave NE Unit B
Rochester, MN 55906
Mailing address
3228 6TH Ave NE Unit B
Rochester, MN 55906-3809
Phone (507) 226-4576
Other practice location 1
300 1st Ave NW
Suite 222
Rochester, MN 55901-2830
Phone (507) 261-2295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115-4615193 | Other | MN | OTHER, NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy@mercysplace.com | Other |
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 |
|---|---|---|---|
| LP4160 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy'S Place Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Rochester, MN
- NPI 1669834099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1154615193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 6TH AVE NE UNIT B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559063809",
"telephone_number": "507-226-4576",
"fax_number": "507-258-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3228 6TH AVE NE UNIT B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55906",
"telephone_number": "507-226-4576",
"fax_number": "507-258-5000"
}
],
"practiceLocations": [
{
"address_1": "300 1st Ave NW",
"address_2": "Suite 222",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559012830",
"country_code": "US",
"telephone_number": "507-261-2295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREMAIN",
"first_name": "AMY",
"middle_name": "JOHNSON",
"name_prefix": "Ms.",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP4160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER, NPI",
"identifier": "115-4615193",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy@mercysplace.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "info received by fax, instead of email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Protected health info shared by fax",
"address_1": "3228 6th Ave NE Unit B",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559063809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.