Individual provider Active NPI

Kaia Minako Greta Tanigawa, MA

  • Marriage & Family Therapist
  • Plymouth, MN
National Provider Identifier
1760240402
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
9800 Shelard Pkwy Ste 115
Plymouth, MN 55441-6527
Phone
(763) 200-8900
NPI assigned
Mar 7, 2024
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 Primary

Addresses

Primary practice location

9800 Shelard Pkwy Ste 115
Plymouth, MN 55441-6527

Mailing address

9800 Shelard Pkwy Ste 115
Plymouth, MN 55441-6527

Other practice location 1

900 Long Lake Rd Ste 160
New Brighton, MN 55112-6414
Phone (612) 706-9630

Other names 1

  • Khara Hesse 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
I20260120001658 MN Practitioner - Marriage and Family Therapist 8123505369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

900 Long Lake Rd
Suite 160
New Brighton, MN 55112-6414

900 Long Lake Rd
Suite 160
New Brighton, MN 55112-6440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care Services, PA CurrentSince Jan 1, 2026 Accepting new patients
Health and Wellness Collaborative Marriage & Family Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

900 Long Lake Rd
Ste 160
Saint Paul, MN 55112
Phone (612) 706-9630

Organizations & group practices 2

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": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1760240402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY STE 115",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SHELARD PKWY STE 115",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416527",
            "telephone_number": "763-200-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Long Lake Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551126414",
            "country_code": "US",
            "telephone_number": "612-706-9630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANIGAWA",
        "first_name": "KAIA",
        "middle_name": "MINAKO GRETA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHARA",
            "last_name": "HESSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.