Active NPI
Tyler Robert Rekowski, LPCC
- Counselor
- Minnetonka, MN
National Provider Identifier
1801436688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC02273
- Practice address
- 2828 Jordan Ave S Apt 202
Minnetonka, MN 55305-3504 - Phone
- (715) 651-4115
- NPI assigned
- Jan 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7848-125 | WI | |
| Counselor | 101Y00000X | CC02273 | MN | Primary |
Addresses
Primary practice location
2828 Jordan Ave S Apt 202
Minnetonka, MN 55305-3504
Mailing address
2828 Jordan Ave S Apt 202
Minnetonka, MN 55305-3504
Phone (651) 728-6400
Other practice location 1
500 Marschall Rd Ste 100
Shakopee, MN 55379-2689
Phone (952) 448-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02273 | MN | MD | Counselor |
| 7848-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassion Clinic Therapy Services PLLC | Mental Health | Current | Accepting new patients |
| Northstar Regional | Past | Accepting new patients | |
| Northstar Regional | Past | Accepting new patients | |
| Familymeans | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Minnetonka, MN
- NPI 1699454512
-
- Mental Health Counselor
- Stillwater, MN
- NPI 1881690899
-
- Clinical Medical Laboratory
- Shakopee, MN
- NPI 1508349234
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chaska, MN
- NPI 1659764587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1801436688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 JORDAN AVE S APT 202",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053504",
"telephone_number": "651-728-6400",
"fax_number": "952-448-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 JORDAN AVE S APT 202",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053504",
"telephone_number": "715-651-4115"
}
],
"practiceLocations": [
{
"address_1": "500 Marschall Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Shakopee",
"state": "MN",
"postal_code": "553792689",
"country_code": "US",
"telephone_number": "952-448-6557",
"fax_number": "952-448-6047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REKOWSKI",
"first_name": "TYLER",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-09",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "7848-125",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MN",
"license": "CC02273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.