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TUBMAN
NPI 1376655159
Clinic/Center - Mental Health (Including Community Mental Health Center) in Minneapolis, MN

Active since August 31, 2006
4432 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55407(612) 870-2444(612) 870-2428 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tubman NPPES

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

TUBMAN (NPI 1376655159), doing business as Tubman Family Alliance & Chrysalis A Center For Women Inc, is a healthcare organization registered as a mental health (including community mental health center) in Minneapolis, Minnesota and active in the NPI registry since August 2006. The organization lists Beverly Dusso, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376655159
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTUBMAN
Location Address4432 CHICAGO AVENUE SOUTHMinneapolis, MN 55407
Mailing Address4432 Chicago Avenue SouthMinneapolis, MN 55407 · (612) 870-2444 · Fax (612) 870-2428
Phone(612) 870-2444
Fax(612) 870-2428
Organization SubpartNo
Authorized OfficialBeverly DussoExecutive Director · (612) 767-6690
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 4, 2008
✔ NPI 1376655159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MN · 8004872MHC
4432 CHICAGO AVENUE SOUTH, Minneapolis, MN 55407
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Other Names 1

Former Legal Business NameTubman Family Alliance & Chrysalis A Center For Women Inc

Other Identifiers 2

Medicare UPINC00969MN
Medicaid257080700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tubman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Tubman, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Beverly Caruso, LICENSED INDEPENDENT
Clinical Social Worker
NPI 1336256916
2829 INGLEWOOD AVE S
St Louis Park, MN 55416
(952) 920-6568
✔ PECOS3.9 mi
Birgit Kelly, LICSW
Clinical Social Worker
NPI 1346420643
8990 SPRINGBROOK DR NW SUITE 220
Coon Rapids, MN 55433
(763) 780-4440
✔ PECOS15 mi
April Wolfson, RN, CNP
Nurse Practitioner
NPI 1093862732
327 MARSCHALL RD # 350
Shakopee, MN 55379
(651) 769-6500
✔ PECOS15 mi
Susan Roeller, MSW, LICSW
Clinical Social Worker
NPI 1801193123
1930 COON RAPIDS BLVD NW
Coon Rapids, MN 55433
(763) 427-7964
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tubman's NPI number?

The NPI number for Tubman is 1376655159. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider was formerly known as Tubman Family Alliance & Chrysalis A Center For Women Inc.

Where is Tubman located?

Tubman is located at 4432 Chicago Avenue South, Minneapolis, MN 55407. The listed phone number is (612) 870-2444.

What is Tubman's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Tubman enrolled in Medicare?

Yes. Tubman is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tubman?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Tubman. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3) and Nurse Practitioner (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tubman accept?

Health plans from HealthPartners list Tubman 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 Tubman was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.