Tupa Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TUPA THERAPY PLLC

Practice address

1330 Page Dr S
Fargo, ND 58103-3500

Phone

(701) 478-6604

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 2022By 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

Heidi Tupa, LCSWNPI 1093461840

Title

Licensed Clinical Social Worker

Phone

(701) 870-2677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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.

• Heidi Tupa, LCSW

  • Clinical Social Worker
  • Fargo, ND
  • NPI 1093461840
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1518614981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033500",
            "telephone_number": "701-478-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "TUPA",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "701-870-2677",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Tsui, P.T., D.P.T., L.AC.
• Mark G Tufte, OD
• David A Tullar, PA-C
• Lyndsey Tungseth, LSW
• Ann Tunheim, M.S., CCC-SLP
• David John Tupa, PHD
• Emily Tupa
• Heidi Tupa, LCSW
• Ranelle I Turman, NP
• Scott Turner, D.O.

• Clinical Social Worker in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.