Tanya Dahms Sundberg, PH.D. , LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 4873 Issued in MN

Practice address

225 W Lincoln Ave Ste 104
Fergus Falls, MN 56537-2146

Phone

(218) 531-1424

Fax

(218) 531-1420

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Walk Counseling IncGroup PAC ID 1759763725, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• River Walk Counseling Inc

  • Professional Counselor
  • Fergus Falls, MN
  • NPI 1962175943
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1407035793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19047 345TH ST",
            "city": "ERHARD",
            "state": "MN",
            "postal_code": "565349573",
            "telephone_number": "218-731-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W LINCOLN AVE STE 104",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372146",
            "telephone_number": "218-531-1424",
            "fax_number": "218-531-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "TANYA",
        "middle_name": "DAHMS",
        "name_prefix": "Dr.",
        "credential": "PH.D. , LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 4873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera Stine, PHARMD
• Alena Storlie
• Patrick J. Stoy, MD
• Eric J Strand, DDS
• Strong Self Mental Health, PLLP
• Sheila Rae Sutherland, LGSW, LMSW
• Jennifer Lynn Swanson
• Katelyn Swanson
• Amy Elaine Swart, MSW, LICSW
• Tammie Lu Sweere, LPN

• Psychologist in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.