Individual provider Active NPI

Anney Tsuji-Lyons, PHD, LMFT, CST

  • Marriage & Family Therapist
  • Roseville, MN
National Provider Identifier
1396225140
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3385 Issued in MN
Practice address
1611 County Road B W Ste 214
Roseville, MN 55113-4053
Phone
(612) 568-3383
NPI assigned
Aug 20, 2018
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3385 MN Primary

Addresses

Primary practice location

1611 County Road B W Ste 214
Roseville, MN 55113-4053

Mailing address

1611 County Road B W Ste 214
Roseville, MN 55113-4053
Phone (612) 568-3383

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
I20240110001459 MN Practitioner - Marriage and Family Therapist 6507217965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
A Time for Healing LLCGroup PAC ID 4981034790, 3 clinicians

Practice addresses (Care Compare)

7400 Metro Blvd
Suite 335
Edina, MN 55439-2356
Phone (952) 388-8990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3385MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A Time for Healing, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Bridgett Marie Littel, LLC Marriage & Family Therapist Past Accepting new patients

Locations

7400 Metro Blvd
Ste 335
Minneapolis, MN 55439
Phone (952) 388-8990

1611 County Road B W
Ste 214
Saint Paul, MN 55113
Phone (651) 217-8600

1884 Como Ave
Saint Paul, MN 55108
Phone (651) 217-8600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1396225140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 214",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "612-568-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 214",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134053",
            "telephone_number": "612-568-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUJI-LYONS",
        "first_name": "ANNEY",
        "credential": "PHD, LMFT, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.