Organization Active NPI

Tuli Therapy and Consulting, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mendota Heights, MN
National Provider Identifier
1164229167
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TULI THERAPY AND CONSULTING, PLLC
Practice address
1751 James Rd
Mendota Heights, MN 55118-3644
Phone
(651) 208-5860
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Elizabeth S Banovetz, LMFTNPI 1538613047
Title
Mental Health Therapist and Owner
Phone
(651) 208-5860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1751 James Rd
Mendota Heights, MN 55118-3644

Mailing address

1751 James Rd
Mendota Heights, MN 55118-3644
Phone (651) 208-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702001870 MN Part B Supplier - Clinic/Group Practice 4082127097 Receives reassigned benefits from 1 practitioner
Practice locations: Mendota Heights, MN; Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

420 Summit Ave
Ste 403
Saint Paul, MN 55102
Phone (651) 208-5860

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1164229167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 JAMES RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183644",
            "telephone_number": "651-208-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 JAMES RD",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183644",
            "telephone_number": "651-208-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULI THERAPY AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BANOVETZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST AND OWNER",
        "authorized_official_telephone_number": "651-208-5860",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.