Individual provider Active NPI

Tara Osborne Leivian

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1568180677
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2537 Issued in MN
Practice address
825 Nicollet Mall Ste 1050
Minneapolis, MN 55402-2624
Phone
(763) 333-8001
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 2537 MN Primary

Addresses

Primary practice location

825 Nicollet Mall Ste 1050
Minneapolis, MN 55402-2624

Mailing address

825 Nicollet Mall Ste 1050
Minneapolis, MN 55402-2624
Phone (763) 333-8001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taral@alphaemergence.org Direct

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

LicenseStateTypeSpecialty
2537MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Service Industries, Inc. CurrentSince Jun 1, 2023 Accepting new patients

Locations

825 Nicollet Mall
Ste 1050
Minneapolis, MN 55402
Phone (612) 217-0447

14 7th Ave N
Saint Cloud, MN 56303
Phone (320) 259-4014

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1568180677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1050",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022624",
            "telephone_number": "763-333-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1050",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022624",
            "telephone_number": "763-333-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE LEIVIAN",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taral@alphaemergence.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "825 Nicollet Mall Ste 1050",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554022624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.