Tischer Therapeutic Services Substance Abuse Treatment Program

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1090064 Issued in MN

Legal business name

TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM

Practice address

115 5TH St N
Breckenridge, MN 56520-1434

Phone

(218) 651-0212

Fax

(218) 651-0220

NPI assigned

Jan 4, 2018

Last updated

Jan 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donya Berteen Blair-Tischer, MA, PSYD, LPCC, LP

Title

Owner

Phone

(218) 651-0212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1366959967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201434",
            "telephone_number": "218-651-0212",
            "fax_number": "218-651-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201434",
            "telephone_number": "218-651-0212",
            "fax_number": "218-651-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "BLAIR-TISCHER",
        "authorized_official_first_name": "DONYA",
        "authorized_official_middle_name": "BERTEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-651-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, PSYD, LPCC, LP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1090064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violetta Marie Syvertson, MA, LPC
• Ashley E. Thompson, LPCC
• Pamela Jean Thompson, LICSW
• Thrifty Drug Stores, Inc. (Thrifty White Pharmacy #781)
• Tischer Therapeutic Services
• Nancy Ellen Torson, MD
• Rosemilove Jeune Turner, SOCIAL WORKER
• Valley-Lake Boy's Home, Inc.
• Carrie Marie Voightman, OTR/L, MOT
• James P Wasemiller, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Breckenridge, MN
• Providers in Breckenridge, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.