Tristate Provider Advocate & Consulting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRISTATE PROVIDER ADVOCATE & CONSULTING

Practice address

1710 Douglas Dr N Ste 120
Golden Valley, MN 55422-4352

Phone

(763) 807-5254

Fax

(612) 465-3032

NPI assigned

Oct 24, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lunda J Thomas, DIRECTOR

Title

Credentialing/Contracting

Phone

(763) 807-5254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1942178868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SHERIDAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113615",
            "telephone_number": "763-807-5254",
            "fax_number": "612-465-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 120",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224352",
            "telephone_number": "763-807-5254",
            "fax_number": "612-465-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PROVIDER ADVOCATE & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LUNDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING",
        "authorized_official_telephone_number": "763-807-5254",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Golden Valley, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.