Active NPI
Tammy S McCarthy, MA, LMFT
- Marriage & Family Therapist
- Eden Prairie, MN
National Provider Identifier
1629400833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2715
- Practice address
- 11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801 - Phone
- (952) 746-2522
- Fax
- (952) 746-0887
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2715 | MN | Primary |
Addresses
Primary practice location
11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801
Mailing address
1900 Silver Lake Rd NW
Suite 115
New Brighton, MN 55112-1786
Phone (651) 628-9566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240222000833 | MN | Practitioner - Marriage and Family Therapist | 9032553698 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Services Inc. | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1629400833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW",
"address_2": "SUITE 115",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121786",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 PRAIRIE LAKES DR STE 350",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443801",
"telephone_number": "952-746-2522",
"fax_number": "952-746-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "TAMMY",
"middle_name": "S",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.