MARY KAYE TACKER PHD, LMFT, LADC
NPI 1629269626
Marriage & Family Therapist in St. Cloud, MN

Q: What is Mary Tacker's NPI number?

The NPI number for Mary Tacker is 1629269626. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Mary Tacker's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tacker was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment

1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303(320) 251-2700(320) 229-5109 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Kaye Tacker Phd, Lmft, Ladc NPPES

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

MARY KAYE TACKER PHD, LMFT, LADC (NPI 1629269626) is an individual marriage & family therapist in St. Cloud, Minnesota, licensed in Minnesota (1490) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629269626

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARY KAYE TACKERCredential: PHD, LMFT, LADC

Location Address1406 6TH AVENUE NORTH, ST. CLOUD HOSPITALSt. Cloud, MN 56303-1901

Mailing Address1900 Centracare Cir # 2475, Centra Care Health PlazaSaint Cloud, MN 56303-5000 · (320) 229-5199 · Fax (320) 229-5109

Phone(320) 251-2700

Fax(320) 229-5109

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateAugust 5, 2007

Last NPPES UpdateJanuary 18, 2013

✔ NPI 1629269626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 1490

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 301691 (MN)

1406 6TH AVENUE NORTH, St. Cloud, MN 56303

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Kaye Tacker Phd, Lmft, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698211928

PECOS Enrollment IDI20240723003664

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

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.

MONICA MARIE GUGGENBERGER MS LMFT

Marriage & Family Therapist

1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL
ST. CLOUD, MN 56303

Stearns County (320) 251-2700

STEVEN MAX VINCENT PHD LP

Psychologist (Clinical)

1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL
ST CLOUD, MN 56303

Stearns County (320) 251-2700

ALAN PAUL JOHNSON PA-C

Physician Assistant

1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL
ST CLOUD, MN 56303

Stearns County (320) 251-2700

KATHRYN LEA GRUWELL MSW LICSW

Social Worker (Clinical)

1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL
ST CLOUD, MN 56303

Stearns County (320) 251-2700

DR. JACOB ROBERT TJADEN D.O.

Psychiatry & Neurology (Psychiatry)

1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL
ST. CLOUD, MN 56303

Stearns County (320) 251-2700

MS. JODY ANN KIRCHNER MSW LICSW

Social Worker

1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL
ST CLOUD, MN 56303

Stearns County (320) 251-2700

DR. MATTHEW CARL MCCLURE DO

Psychiatry & Neurology (Psychiatry)

1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL
ST. CLOUD, MN 56303

Stearns County (320) 251-2700

CATHERINE MARIE PALMER PHD LP

Psychologist

1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL
ST CLOUD, MN 56303

Stearns County (320) 251-2700

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 Mary Tacker's NPI number?

The NPI number for Mary Tacker is 1629269626. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Mary Tacker located?

Mary Tacker practices at 1406 6th Avenue North St. Cloud Hospital, St. Cloud, MN 56303. The listed phone number is (320) 251-2700.

What is Mary Tacker's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mary Tacker enrolled in Medicare?

Yes. Mary Tacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Tacker accept?

Health plans from HealthPartners list Mary Tacker 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.

Is Mary Tacker affiliated with any hospitals?

According to CMS data, Mary Tacker is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Mary Tacker was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.