Individual provider Active NPI

Tiffany Foley, LADC, LSW

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1669908638
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1900 Silver Lake Road
SE 110
Minneapolis, MN 55112-0474
Phone
(763) 746-9492
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1900 Silver Lake Road
SE 110
Minneapolis, MN 55112-0474

Mailing address

1900 Silver Lake Road
SE 110
Minneapolis, MN 55112-0474
Phone (763) 746-9492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201224000135 MN Practitioner - Clinical Social Worker 4981016540 Reassigns benefits to 1 organization
I20220610001722 WI Practitioner - Clinical Social Worker 4981016540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nystrom and Associates Counseling Wi SCGroup PAC ID 1052729464, 108 clinicians

Practice addresses (Care Compare)

2501 Hanley Rd
Suite 201
Hudson, WI 54016-8786
Phone (535) 544-5247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Jul 17, 2022 Accepting new patients
Nystrom & Associates Counseling Wi., S.C. CurrentSince Jul 17, 2022 Accepting new patients
Nystrom & Associates, LTD CurrentSince Sep 8, 2020 Accepting new patients
Family Support Services Inc. Mental Health CurrentSince Mar 3, 2024 Accepting new patients

Locations

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

1811 Weir Dr
Ste 270
Woodbury, MN 55125
Phone (651) 243-6087

2501 Hanley Rd
Ste 201
Hudson, WI 54016
Phone (534) 544-5247

201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005

Organizations & group practices 4

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669908638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE ROAD",
            "address_2": "SE 110",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "551120474",
            "telephone_number": "763-746-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE ROAD",
            "address_2": "SE 110",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "551120474",
            "telephone_number": "763-746-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "LADC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.