Tamera Schwantes Churchill, MAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3711 Issued in MN

Practice address

125 W Lincoln Ave Ste 10
Fergus Falls, MN 56537-2152

Phone

(218) 205-1079

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tamera Sorum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 15, 2024 through Nov 15, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Fergus Falls Community Counseling

  • Mental Health Counselor
  • Fergus Falls, MN
  • NPI 1851224877
  NPD Authorized official
• Fergus Falls Family Counseling

  • Mental Health Counselor
  • Fergus Falls, MN
  • NPI 1831895101
  NPD Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1568093532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23866 CANTERBURY LN",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565378113",
            "telephone_number": "218-205-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W LINCOLN AVE STE 10",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372152",
            "telephone_number": "218-205-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "TAMERA",
        "middle_name": "SCHWANTES",
        "credential": "MAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMERA",
            "last_name": "SORUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Christianson, PHARM.D.
• Margo Christopher
• Christy Lynn Mark
• Joanna Chua, MPH
• David Diederich Churchill, LMFT
• CK Home Health
• CK Home Health Care Inc.
• Lindsay Ann Claeys, RN
• Lindsey Clark, RN
• Kevin Clinton

• Marriage & Family Therapist in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.