Individual provider Active NPI

Tia Marie Heimer, MA, LPCC

  • Professional Counselor
  • New Hope, MN
National Provider Identifier
1750077202
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3738 Issued in MN
Practice address
9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019
Phone
(763) 225-4052
NPI assigned
Apr 17, 2023
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3738 MN Primary

Addresses

Primary practice location

9220 Bass Lake Rd Ste 255
New Hope, MN 55428-3019

Mailing address

7625 Metro Blvd Ste 200
Minneapolis, MN 55439-3057
Phone (612) 715-3175

Other names 1

  • Tia Marie Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002564 MN Practitioner - Mental Health Counselor 3678919701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Centerlife Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

7039 20th Ave
Hugo, MN 55038
Phone (651) 288-0332

4444 Centerville Rd
Ste 235
White Bear Lake, MN 55127
Phone (651) 289-3111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1750077202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 METRO BLVD STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393057",
            "telephone_number": "612-715-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 255",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283019",
            "telephone_number": "763-225-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMER",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "ANDERSON",
            "middle_name": "MARIE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hope, MN

Sources for this page

Verify at the official NPI Registry.