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CARISSA TCHALLA
NPI 1821871971
Marriage & Family Therapist in Minneapolis, MN

Active since August 14, 2023PECOS Enrolled
3033 EXCELSIOR BLVD STE 365, MINNEAPOLIS, MN 55416(612) 979-2276 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2024, Nov 7, 2024, Aug 14, 2023 (3 updates tracked since 2023).

About Carissa Tchalla NPPES

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

CARISSA TCHALLA (NPI 1821871971) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (4511) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821871971
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARISSA TCHALLA
Location Address3033 EXCELSIOR BLVD STE 365Minneapolis, MN 55416-4688
Mailing Address3835 Ballantrae Rd Apt 10Eagan, MN 55122-1511 · (763) 443-9537
Phone(612) 979-2276
Sole ProprietorNo
Enumeration DateAugust 14, 2023
Last NPPES UpdateDecember 20, 20243 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1821871971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 4511
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.
3033 EXCELSIOR BLVD STE 365, Minneapolis, MN 55416
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carissa Tchalla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lyn-Lake Psychotherapy And Wellness Ltd.
1.5 mi
Clinical
621 W LAKE ST STE 350
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 152 clinicians in this Medicare group
NPI 1609355163 (612) 979-2276
Thrive Therapy And Wellness LLC
19 mi
Marriage & Family Therapist
7560 38TH ST N
Oakdale, MN 55128
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1073303483 (763) 443-9537

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 5

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

LAUREN MARIE STEVENS LPCC
Counselor (Mental Health)
3033 EXCELSIOR BLVD STE 365
MINNEAPOLIS, MN 55416
Hennepin County (507) 933-0073
JACQUELINE SUZANNE DENISON GETCHIUS B.A.
Counselor (Mental Health)
3033 EXCELSIOR BLVD STE 365
MINNEAPOLIS, MN 55416
Hennepin County (612) 743-6471
BRITTAN DONOHOE RD, LD
Dietitian, Registered
3033 EXCELSIOR BLVD STE 365
MINNEAPOLIS, MN 55416
Hennepin County (612) 979-2276
ERIN ELIZABETH APPEL MA LPCC
Counselor (Professional)
3033 EXCELSIOR BLVD STE 365
MINNEAPOLIS, MN 55416
Hennepin County (612) 979-2276
MAX AVERY MA, LPCC, LADC
Counselor (Mental Health)
3033 EXCELSIOR BLVD STE 365
MINNEAPOLIS, MN 55416
Hennepin County (612) 520-1814

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 Carissa Tchalla's NPI number?

The NPI number for Carissa Tchalla is 1821871971. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Carissa Tchalla located?

Carissa Tchalla practices at 3033 Excelsior Blvd Ste 365, Minneapolis, MN 55416. The listed phone number is (612) 979-2276.

What is Carissa Tchalla's specialty?

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

Is Carissa Tchalla enrolled in Medicare?

Yes. Carissa Tchalla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carissa Tchalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Tchalla reassigns Medicare benefits to 2 organizations: Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN) and Thrive Therapy And Wellness LLC (Oakdale, MN). Each 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 Carissa Tchalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carissa Tchalla accept?

Health plans from HealthPartners list Carissa Tchalla 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 Carissa Tchalla was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.