Individual provider Active NPI

Tamarah Lynn Gehlen, MA MFT LADC

  • Addiction (Substance Use Disorder) Counselor
  • Litchfield, MN
National Provider Identifier
1962706242
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
302759 Issued in MN
Practice address
1326 E Ripley St
Litchfield, MN 55355-4525
Phone
(320) 593-0440
Fax
(320) 593-0442
NPI assigned
Dec 31, 2010
Last updated
Dec 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 302759 MN Primary

Addresses

Primary practice location

1326 E Ripley St
Litchfield, MN 55355-4525

Mailing address

1326 E Ripley St
Litchfield, MN 55355-4525
Phone (320) 593-0440

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
I20250409003916 MN Practitioner - Marriage and Family Therapist 4082138128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gehlen Counseling and Consulting LLCGroup PAC ID 3173047214, 9 clinicians

Practice addresses (Care Compare)

8060 State Hwy 55
Suite 100
Rockford, MN 55373-9407
Phone (612) 465-9910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302759MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gehlen Counseling and Consulting LLC Addiction (Substance Use Disorder) CurrentSince Aug 19, 2022 Accepting new patients
Jacy II LLC Past Accepting new patients

Locations

8101 34th Ave S
Ste 310
Bloomington, MN 55425
Phone (612) 465-9910

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": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293753600000",
    "number": "1962706242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 E RIPLEY ST",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553554525",
            "telephone_number": "320-593-0440",
            "fax_number": "320-593-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 E RIPLEY ST",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553554525",
            "telephone_number": "320-593-0440",
            "fax_number": "320-593-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHLEN",
        "first_name": "TAMARAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA MFT LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, MN

Sources for this page

Verify at the official NPI Registry.