Brightstar Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRIGHTSTAR BEHAVIORAL HEALTH SERVICES LLC

Practice address

5703 Lachman Ave NE
Albertville, MN 55301-3973

Phone

(763) 291-3169

NPI assigned

Oct 15, 2025

Last updated

Jul 10, 2026By 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

Mr. Pius Awandem Tanyifor, DNP, PMHNP-BC, APRN,NPI 1679296248

Title

Director

Phone

(763) 291-3169

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pius Awandem Tanyifor

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Paul, MN
  • NPI 1679296248
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1386510378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 MACKENZIE AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553305031",
            "telephone_number": "763-291-3169",
            "fax_number": "763-291-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 LACHMAN AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553013973",
            "telephone_number": "763-291-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTAR BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "TANYIFOR",
        "authorized_official_first_name": "PIUS",
        "authorized_official_middle_name": "AWANDEM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-291-3169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DNP, PMHNP-BC, APRN,"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Beaumaster
• Patrick Gary Becicka, D.D.S.
• Ashley Berning, RN
• Katherine Berthiaume
• Bailey Bladholm
• Courtney A. Buley
• Joshua Augustus Cadwallader, PT, DPT
• Regina Cadwallader
• Chiropractic and Wellness Center of Albertville
• Chiropractic and Wellness Center of Albertville PLLC

• Psychiatric/Mental Health Nurse Practitioner in Albertville, MN
• Providers in Albertville, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.