Taryn Surdy, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3963 Issued in MN

Practice address

226 N Broad St
Mankato, MN 56001-3520

Phone

(507) 931-8040

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

No

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Solutions LLCGroup PAC ID 6709293541, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Omni Solutions LLC

  • Marriage & Family Therapist
  • Mankato, MN
  • NPI 1215523477
  Medicare reassignment Care Compare group NPD Authorized official
• Counseling Services of Southern Minnesota, Inc

  • Clinical Social Worker
  • Saint Peter, MN
  • NPI 1962557496

  Marriage & Family Therapist

  NPD
• Sioux Trails Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Ulm, MN
  • NPI 1902909914
  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1821684085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W 5TH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560011646",
            "telephone_number": "507-697-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013520",
            "telephone_number": "507-931-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDY",
        "first_name": "TARYN",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Marie Sullivan, MD
• Supervalu Pharmacies Inc
• Supervalu Pharmacies Inc
• Maci Marie Surat
• Surdy Psychological Services LLC
• Theodore Surdy, PHD LP
• Theodore Nash Surdy, LPCC
• Fiona Swanson, LICSW
• Gene Earl Swanson, M.D.
• Katherine Ann Swanson, PT

• Marriage & Family Therapist in Mankato, MN
• Providers in Mankato, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.