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JAELYN RAE TYKWINSKI
NPI 1043172570
Student in an Organized Health Care Education/Training Program in Moorhead, MN

Active since December 02, 2025
2405 8TH ST S STE 200, MOORHEAD, MN 56560(218) 331-4866 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaelyn Rae Tykwinski NPPES

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

JAELYN RAE TYKWINSKI (NPI 1043172570) is an individual student in an organized health care education/training program in Moorhead, Minnesota and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1043172570
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAELYN RAE TYKWINSKI
Location Address2405 8TH ST S STE 200Moorhead, MN 56560-4200
Mailing Address1228 Patricia Ct # AMarshall, MN 56258-2190
Phone(218) 331-4866
Sole ProprietorNo
Enumeration DateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1043172570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2405 8TH ST S STE 200, Moorhead, MN 56560
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Other Providers at the Same Location NPPES 20

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

DEBORAH ANN BIALIK LICSW
Social Worker (Clinical)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
SHENIKA NICOLE BORDEAUX-COLLINS LAC, LADC
Counselor (Addiction (Substance Use Disorder))
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
CHRISTINA J FIKE MA., LPCC
Counselor (Professional)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
ERIC E LETVIN
Counselor (Mental Health)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 382-1267
MS. SARAH MARIE DEEGAN MS,LPCC
Counselor (Mental Health)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
MICHAEL JOHN RICHTER
Social Worker (Clinical)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866
KELSI DYBEDAHL
Counselor (Addiction (Substance Use Disorder))
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 382-1267
MRS. SHANNA L GARCIA MS LPCC
Counselor (Professional)
2405 8TH ST S STE 200
MOORHEAD, MN 56560
Clay County (218) 331-4866

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 Jaelyn Tykwinski's NPI number?

The NPI number for Jaelyn Tykwinski is 1043172570. It was assigned to this individual provider in the NPPES registry on December 2, 2025.

Where is Jaelyn Tykwinski located?

Jaelyn Tykwinski practices at 2405 8th St S Ste 200, Moorhead, MN 56560. The listed phone number is (218) 331-4866.

What is Jaelyn Tykwinski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jaelyn Tykwinski was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.