Individual provider Active NPI

Tanya Ayn Freedland, MPS, LPCC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Buffalo, MN
National Provider Identifier
1982223764
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
303700 Issued in MN
Practice address
1309 Timber LN
Buffalo, MN 55313-2033
Phone
(612) 616-5226
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 303700 MN Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3407 MN

Addresses

Primary practice location

1309 Timber LN
Buffalo, MN 55313-2033

Mailing address

1309 Timber LN
Buffalo, MN 55313-2033
Phone (651) 243-0619

Other names 1

  • Tanya Ayn Line Former name

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
I20240301002935 MN Practitioner - Mental Health Counselor 3870938699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcs Institute LLCGroup PAC ID 2961847785, 2 clinicians

Practice addresses (Care Compare)

30 1St Ave NE
Suite 11
Buffalo, MN 55313-1515
Phone (651) 243-0619

825 Nicollet Mall
Suite 1946
Minneapolis, MN 55402-2707
Phone (651) 243-0619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303700MNMDAddiction (Substance Use Disorder) Counselor
3407MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcs Institute LLC Addiction (Substance Use Disorder) CurrentSince Dec 12, 2023 Accepting new patients

Locations

30 1st Ave NE
Ste 11
Buffalo, MN 55313
Phone (651) 243-0619

825 Nicollet Mall
Ste 1946
Minneapolis, MN 55402
Phone (612) 339-1463

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1982223764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 TIMBER LN",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132033",
            "telephone_number": "651-243-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 TIMBER LN",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132033",
            "telephone_number": "612-616-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDLAND",
        "first_name": "TANYA",
        "middle_name": "AYN",
        "credential": "MPS, LPCC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303700",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "LINE",
            "middle_name": "AYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, MN

Sources for this page

Verify at the official NPI Registry.