Individual provider Active NPI

Tina Marie Truax, MA, LP

  • Psychologist
  • Rochester, MN
National Provider Identifier
1336344019
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5132 Issued in MN
Practice address
1130 1/2 7TH St NW Ste 206
Rochester, MN 55901-2994
Phone
(507) 203-3463
Fax
(507) 322-7660
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5132 MN Primary

Addresses

Primary practice location

1130 1/2 7TH St NW Ste 206
Rochester, MN 55901-2994

Mailing address

1130 1/2 7TH St NW Ste 206
Rochester, MN 55901-2994
Phone (507) 203-3464

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
I20250102001473 MN Practitioner - Clinical Psychologist 9638606650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1130 /2
Suite 206
Rochester, MN 55901-2994
Phone (507) 203-3464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Tina Truax, LLC Psychologist CurrentSince Sep 24, 2024 Accepting new patients

Locations

1130 7th St NW
Ste 206
Rochester, MN 55901
Phone (507) 203-3463

1610 14th St NW
Ste 204
Rochester, MN 55901
Phone (507) 288-4544

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1336344019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 1/2 7TH ST NW STE 206",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012994",
            "telephone_number": "507-203-3464",
            "fax_number": "507-322-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 1/2 7TH ST NW STE 206",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012994",
            "telephone_number": "507-203-3463",
            "fax_number": "507-322-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUAX",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "MA, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.