Active NPI
Regroup Counseling and Consulting PSC
- Marriage & Family Therapist
- Elk River, MN
National Provider Identifier
1194298026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- REGROUP COUNSELING AND CONSULTING PSC
- Practice address
- 18336 Joplin St NW
Elk River, MN 55330-1773 - Phone
- (763) 350-9687
- Fax
- (651) 447-5394
- NPI assigned
- Jan 3, 2019
- Last updated
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tia M Dvorak, LMFT
- Title
- Owner Therapist
- Phone
- (763) 350-9687
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
18336 Joplin St NW
Elk River, MN 55330-1773
Mailing address
586 Dodge Ave NW Ste B
Elk River, MN 55330-1913
Phone (763) 350-9687
Other practice location 1
586 Dodge Ave NW Ste B
Elk River, MN 55330-1913
Phone (763) 350-9687
Other practice location 2
310 Lake St S Ste 121
Big Lake, MN 55309-4616
Phone (763) 350-9687
Other practice location 3
161 4th St Ste B
Albany, MN 56307-8356
Phone (763) 350-9687
Other practice location 4
15088 22nd Ave NE
Little Falls, MN 56345-4199
Phone (763) 350-9687
Other practice location 5
501 4th St S Ste 201
Princeton, MN 55371-4754
Phone (763) 350-9687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194298026 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@regroupkids.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
310 Lake St S
Ste 121
Big Lake, MN 55309
Phone (763) 350-9687
586 Dodge Ave NW
Ste B
Elk River, MN 55330
Phone (763) 350-9687
998 Jackson St NW
Elk River, MN 55330
501 4th St S
Ste 201
Princeton, MN 55371
Phone (763) 350-9687
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Elk River, MN
- NPI 1912383969
-
- Clinical Social Worker
- Elk River, MN
- NPI 1033873047
-
- Mental Health Counselor
- Minneapolis, MN
- NPI 1386471266
-
- Clinical Social Worker
- Saint Cloud, MN
- NPI 1720597487
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Cloud, MN
- NPI 1891308813
-
- Mental Health Counselor
- Albany, MN
- NPI 1891565917
-
- Clinical Social Worker
- Elk River, MN
- NPI 1588434328
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1023881935
-
- Counseling Psychologist
- Elk River, MN
- NPI 1033446331
-
- Marriage & Family Therapist
- Elk River, MN
- NPI 1669190807
-
- Marriage & Family Therapist
- Little Falls, MN
- NPI 1932493384
-
- Marriage & Family Therapist
- Milaca, MN
- NPI 1457079345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1194298026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 DODGE AVE NW STE B",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301913",
"telephone_number": "763-350-9687",
"fax_number": "651-447-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18336 JOPLIN ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301773",
"telephone_number": "763-350-9687",
"fax_number": "651-447-5394"
}
],
"practiceLocations": [
{
"address_1": "586 Dodge Ave NW Ste B",
"address_purpose": "LOCATION",
"city": "Elk River",
"state": "MN",
"postal_code": "553301913",
"country_code": "US",
"telephone_number": "763-350-9687",
"fax_number": "651-447-5394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Lake St S Ste 121",
"address_purpose": "LOCATION",
"city": "Big Lake",
"state": "MN",
"postal_code": "553094616",
"country_code": "US",
"telephone_number": "763-350-9687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "161 4th St Ste B",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "MN",
"postal_code": "563078356",
"country_code": "US",
"telephone_number": "763-350-9687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15088 22nd Ave NE",
"address_purpose": "LOCATION",
"city": "Little Falls",
"state": "MN",
"postal_code": "563454199",
"country_code": "US",
"telephone_number": "763-350-9687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 4th St S Ste 201",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "MN",
"postal_code": "553714754",
"country_code": "US",
"telephone_number": "763-350-9687",
"fax_number": "651-447-5394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REGROUP COUNSELING AND CONSULTING PSC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-03",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "DVORAK",
"authorized_official_first_name": "TIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER THERAPIST",
"authorized_official_telephone_number": "763-350-9687",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194298026",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@regroupkids.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "586 Dodge Ave NW Ste B",
"city": "Elk River",
"state": "MN",
"country_code": "US",
"postal_code": "553301913",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elk River, MN
- Michael Harold Rafferty, D.C.
- Kelly Jean Rawlings
- Rebrovich and Whalen Chiropractic, LTD. (Ideal Health, A Sports & Family Chiropractic Clinic)
- Jeremy Frank Rebrovich, D.C.
- Sandra Lynn Rebrovich, D.C.
- Courtney E Reinitz, MSW, LICSW
- Rescare Minnesota
- Perla Reyes-Mendoza
- Ridgewood Manor
- Madeline Marie Riebel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.