Layne Ticker

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

341 19TH Ave NE
Minneapolis, MN 55418-4350

Phone

(847) 970-8193

NPI assigned

Sep 22, 2014

Last updated

Sep 22, 2014By 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

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.

• Relationship Therapy Center PC

  • Marriage & Family Therapist
  • St Louis Park, MN
  • NPI 1376687285
  Medicare reassignment NPD

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1336541390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 19TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184350",
            "telephone_number": "847-970-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 19TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184350",
            "telephone_number": "847-970-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICKER",
        "first_name": "LAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emebeat A Tibebu
• Robert James Tibesar, MD
• Lucas Tibor, RN
• Michelle M Tichey, MD
• Luan Shiloh Tichy
• Blake Ryan Tidwell, MD
• Cody D. Tidwell, MD
• Judith Ann Tiede, APRN
• Linnea C Tiede
• Joclyn Malliet Tiedt, MSW, LICSW

• Marriage & Family Therapist in Minneapolis, MN
• Providers in Minneapolis, 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 Sep 22, 2014; 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.