Tiffany Bobendrier, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

02688 Issued in MN

Practice address

16150 Crosstown Blvd NW
Andover, MN 55304-2111

Phone

(763) 200-1594

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1669383105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 CROSSTOWN BLVD NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553042111",
            "telephone_number": "763-200-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 CROSSTOWN BLVD NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553042111",
            "telephone_number": "763-200-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2356 University Ave W Ste 280",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141898",
            "country_code": "US",
            "telephone_number": "763-200-1594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBENDRIER",
        "first_name": "TIFFANY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emelia Blatz, DPT
• Jessica Blum, OTD, OTR/L
• Julie Marie Boelke, MA LPCC
• Julia Marie Bolte
• Cassandra A Borlaug, MS, OTR/L
• Rebecca Brandt, PA C
• Bradley R Branham, M.A., LMFT

• Mental Health Counselor in Andover, MN
• Providers in Andover, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.