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MRS. ELIZABETH C TICKLE MA CCC/SLP
NPI 1609967223
Speech-Language Pathologist in Bloomington, MN

Active since September 27, 2006
900 WEST 94TH ST, BLOOMINGTON, MN 55420(952) 885-0418(952) 885-0173 Get Directions Write a Review

NPPES record last updated: November 19, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Elizabeth C Tickle Ma Ccc/slp NPPES

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

MRS. ELIZABETH C TICKLE MA CCC/SLP (NPI 1609967223) is an individual speech-language pathologist provider in Bloomington, Minnesota, licensed in Minnesota (8021) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1609967223
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. ELIZABETH C TICKLECredential: MA CCC/SLP
Location Address900 WEST 94TH STBloomington, MN 55420
Mailing Address1322 Alton St #212St Paul, MN 55116 · (651) 247-5966
Phone(952) 885-0418
Fax(952) 885-0173
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 19, 2010
✔ NPI 1609967223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 8021
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
900 WEST 94TH ST, Bloomington, MN 55420
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Other Names 1

Former Name (1)Miss Elizabeth G Cruse Ma Ccc/slp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth C Tickle Ma Ccc/slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Tickle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Achievement Center Inc.
17 mi
Occupational Therapist
2101 WOODDALE DR, SUITE A
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 59 clinicians in this Medicare group
NPI 1952411175 (651) 738-9888

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

Other Providers at the Same Location NPPES

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

MEGAN MARIE SIELER OTRL
Occupational Therapist
900 WEST 94TH ST
BLOOMINGTON, MN 55420
Hennepin County (952) 885-0418

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 Elizabeth Tickle's NPI number?

The NPI number for Elizabeth Tickle is 1609967223. It was assigned to this individual provider in the NPPES registry on September 27, 2006. The provider is also known as Miss Elizabeth G Cruse Ma Ccc/Slp.

Where is Elizabeth Tickle located?

Elizabeth Tickle practices at 900 West 94th St, Bloomington, MN 55420. The listed phone number is (952) 885-0418.

What is Elizabeth Tickle's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Elizabeth Tickle enrolled in Medicare?

Yes. Elizabeth Tickle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Tickle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Tickle reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, MN). The 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 Elizabeth Tickle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Tickle was last updated on November 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.