Active NPI
Tanya Ayn Freedland, MPS, LPCC, LADC
- Addiction (Substance Use Disorder) Counselor
- Buffalo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 303700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303700 | MN | Primary |
| Mental Health Counselor | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 303700 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| 3407 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcs Institute LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Buffalo, MN
- NPI 1023887247
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.