Individual provider Active NPI

Tyler James Struxness

  • Mental Health Counselor
  • Virginia, MN
National Provider Identifier
1356114342
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
130 Anderson Dr Apt 8
Virginia, MN 55792-3562
Phone
(715) 699-9499
NPI assigned
Nov 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

130 Anderson Dr Apt 8
Virginia, MN 55792-3562

Mailing address

130 Anderson Dr Apt 8
Virginia, MN 55792-3562
Phone (715) 699-9499

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
I20250814001894 MN Practitioner - Mental Health Counselor 9830698299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Reflections Counseling PLLCGroup PAC ID 7113468745, 3 clinicians

Practice addresses (Care Compare)

505 S 12TH Ave W
Virginia, MN 55792-3099
Phone (218) 780-9499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Reflections Counseling PLLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

227 McKinley Ave
Eveleth, MN 55734
Phone (218) 481-7603

505 S 12th Ave W
Virginia, MN 55792
Phone (218) 749-2877

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": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1356114342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ANDERSON DR APT 8",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923562",
            "telephone_number": "715-699-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ANDERSON DR APT 8",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923562",
            "telephone_number": "715-699-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUXNESS",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia, MN

Sources for this page

Verify at the official NPI Registry.