Individual provider Active NPI

Tabitha Cadmus, LPC

  • Mental Health Counselor
  • Moorhead, MN
National Provider Identifier
1316647571
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
819 30TH Ave S Ste 102
Moorhead, MN 56560-5000
Phone
(218) 979-3560
Fax
(218) 284-1080
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

819 30TH Ave S Ste 102
Moorhead, MN 56560-5000

Mailing address

819 30TH Ave S Ste 102
Moorhead, MN 56560-5000
Phone (218) 979-3560

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
I20251224000116 MN Practitioner - Mental Health Counselor 4082109368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Greater Minnesota Community ServicesGroup PAC ID 2365893369, 5 clinicians

Practice addresses (Care Compare)

819 30TH Ave S
Suite 102
Moorhead, MN 56560-5000
Phone (218) 979-3560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Minnesota Community Services CurrentSince Dec 10, 2025 Accepting new patients

Locations

819 30th Ave S
Ste 102
Moorhead, MN 56560
Phone (218) 979-3560

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1316647571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S STE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "218-979-3560",
            "fax_number": "218-284-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S STE 102",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "218-979-3560",
            "fax_number": "218-284-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADMUS",
        "first_name": "TABITHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.