MRS. TABITHA SODERSTROM MS
NPI 1013556166
Counselor - Mental Health in White Bear Lake, MN

Active since January 06, 2020
3596 LINDEN AVE, WHITE BEAR LAKE, MN 55110(507) 215-2459 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tabitha Soderstrom Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TABITHA SODERSTROM MS (NPI 1013556166) is an individual mental health provider in White Bear Lake, Minnesota and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1013556166
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. TABITHA SODERSTROMCredential: MS
Location Address3596 LINDEN AVEWhite Bear Lake, MN 55110-4693
Mailing Address453 CimarronLake Elmo, MN 55042-9621 · (507) 215-2459
Sole ProprietorYes
Enumeration DateJanuary 6, 2020
NPI 1013556166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3596 LINDEN AVE, White Bear Lake, MN 55110

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3596 LINDEN AVE
WHITE BEAR LAKE, MN 55110
Marriage & Family Therapist
3596 LINDEN AVE
WHITE BEAR LAKE, MN 55110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabitha Soderstrom's NPI number?

The NPI number for Tabitha Soderstrom is 1013556166. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Tabitha Soderstrom located?

Tabitha Soderstrom practices at 3596 Linden Ave, White Bear Lake, MN 55110. The listed phone number is (507) 215-2459.

What is Tabitha Soderstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Tabitha Soderstrom accept?

Health plans from Avera Health Plans and Sanford Health Plan list Tabitha Soderstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tabitha Soderstrom was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.