Individual provider Active NPI

Dorothee Tshiela, MA

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1992251151
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1601 Issued in MN
Practice address
1165 Arcade St
Saint Paul, MN 55106-2615
Phone
(651) 772-5602
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1601 MN Primary
Professional Counselor 101YP2500X 11427191-6004 UT

Addresses

Primary practice location

1165 Arcade St
Saint Paul, MN 55106-2615

Mailing address

1165 Arcade St
Saint Paul, MN 55106-2615
Phone (651) 772-5602

Other practice location 1

3460 Washington Dr Ste 110
Eagan, MN 55122-4301
Phone (651) 688-0488

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
I20240422000419 MN Practitioner - Mental Health Counselor 4981043171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamm Memorial Psychiatric ClinicGroup PAC ID 8426000340, 13 clinicians

Practice addresses (Care Compare)

10 River Park PLZ
Suite 710
Saint Paul, MN 55107-1223
Phone (651) 224-0614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11427191-6004UTMDProfessional Counselor
1601MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamm Memorial Psychiatric Clinic CurrentSince Jan 22, 2024 Accepting new patients
Envisioning Wellness LLC Current Accepting new patients
Cedar Valley Center for Child & Family Therapy, PLLC PastSince Jan 12, 2020 Accepting new patients

Locations

3460 Washington Dr
Ste 109
Saint Paul, MN 55122
Phone (612) 440-2678

10 River Park Plz
Ste 710
Saint Paul, MN 55107
Phone (651) 224-0614

Organizations & group practices 3

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1992251151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062615",
            "telephone_number": "651-772-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062615",
            "telephone_number": "651-772-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3460 Washington Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551224301",
            "country_code": "US",
            "telephone_number": "651-688-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSHIELA",
        "first_name": "DOROTHEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1601",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "11427191-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.