Active NPI
Marylee Margaret Tauer, BHS, LADC
- Addiction (Substance Use Disorder) Counselor
- Saint Paul, MN
National Provider Identifier
1407473374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 304164
- Practice address
- 366 Prior Ave N
Saint Paul, MN 55104-5165 - Phone
- (651) 529-8904
- Fax
- (651) 646-0196
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304164 | MN | Primary |
Addresses
Primary practice location
366 Prior Ave N
Saint Paul, MN 55104-5165
Mailing address
366 Prior Ave N
Saint Paul, MN 55104-5165
Phone (651) 529-8908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304164 | Other | MN | LICENSED ALCOHOL AND DRUG COUNSELOR |
Other names 1
- Marylee Margaret Stensland
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maryleet@transitions.pro | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304164 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1407473374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 PRIOR AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045165",
"telephone_number": "651-529-8908",
"fax_number": "651-646-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 PRIOR AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045165",
"telephone_number": "651-529-8904",
"fax_number": "651-646-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUER",
"first_name": "MARYLEE",
"middle_name": "MARGARET",
"credential": "BHS, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "304164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED ALCOHOL AND DRUG COUNSELOR",
"identifier": "304164",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "maryleet@transitions.pro",
"affiliation": "N",
"endpointDescription": "Procentive",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Procentive",
"address_1": "366 Prior Ave N",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551045165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARYLEE",
"last_name": "STENSLAND",
"middle_name": "MARGARET",
"credential": "NONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.