Tilah Care

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TILAH CARE

Practice address

1250 Moore Lake Dr E Ste 200-I
Fridley, MN 55432-5134

Phone

(612) 568-8188

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Kingsbury, LPCCNPI 1437698453

Title

Owner

Phone

(612) 723-7343

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Kingsbury, MA, LPCC

  • Professional Counselor
  • Fridley, MN
  • NPI 1437698453
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1972348811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 3RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091609",
            "telephone_number": "612-723-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MOORE LAKE DR E STE 200-I",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325134",
            "telephone_number": "612-568-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILAH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-723-7343",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlyssa Thorson, M.A., LPCC
• Thriving Minds Psychology Practice PLLC
• Ralph James Throckmorton, PT
• Beatrice Tice, AUD
• Talsi Alisha Tice
• Grace A Tippy
• Abdurahman Adan Tobe
• Khadija Adan Tobe
• Hawi Dagne Toka
• Gloria J. Tong, MD

• Adult Mental Health Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.