Tanya Martha Kubista, MA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2613 Issued in MN

Practice address

14091 Baxter Dr Ste 112
Baxter, MN 56425-8703

Phone

(218) 585-2052

NPI assigned

Jan 26, 2015

Last updated

Jun 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clearwaters Crosby LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baxter, MN
  • NPI 1093389736
  Medicare reassignment NPD Authorized official
• Northernwaters Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baxter, MN
  • NPI 1912660259
  NPD
• True Balance LTD

  • Multi-Specialty Clinic/Center
  • Little Falls, MN
  • NPI 1205025442

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1154711406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15157 LADYSLIPPER LN",
            "city": "DEERWOOD",
            "state": "MN",
            "postal_code": "564448918",
            "telephone_number": "218-825-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14091 BAXTER DR STE 112",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258703",
            "telephone_number": "218-585-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISTA",
        "first_name": "TANYA",
        "middle_name": "MARTHA",
        "credential": "MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Kramer
• Mary L Kreger, NP
• Jasmine Jo Kretzman
• Amanda Alice Kronen, PTA
• Andrew Burton Krueger, D.C.
• Evan R Kuhn, O.D.
• Jeanne Marie Kurtz, PHD, LP
• Lovety Genebah Kwelweeh
• Denise Yvonne Laber
• Lori Ann Lachelt, LADC

• Marriage & Family Therapist in Baxter, MN
• Providers in Baxter, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.