MANDY TIEDEMAN LMFT
NPI 1891300539
Marriage & Family Therapist in Glastonbury, CT

Q: What is Mandy Tiedeman's NPI number?

The NPI number for Mandy Tiedeman is 1891300539. It was assigned to this individual provider in the NPPES registry on September 10, 2020. The provider is also known as Mandy Lynn Phillips.

Q: What is Mandy Tiedeman'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 Mandy Tiedeman was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 10, 2020PECOS Enrolled

119C GRISWOLD ST STE 202, GLASTONBURY, CT 06033(860) 918-7946(860) 735-5842 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Sep 10, 2020 (2 updates tracked since 2020).

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About Mandy Tiedeman Lmft NPPES

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

MANDY TIEDEMAN LMFT (NPI 1891300539) is an individual marriage & family therapist in Glastonbury, Connecticut, licensed in Connecticut (2402) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891300539

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMANDY TIEDEMANCredential: LMFT

Location Address119C GRISWOLD ST STE 202Glastonbury, CT 06033-1099

Mailing Address119c Griswold St Ste 202Glastonbury, CT 06033-1099 · (860) 918-7946 · Fax (860) 735-5842

Phone(860) 918-7946

Fax(860) 735-5842

Sole ProprietorNo

Enumeration DateSeptember 10, 2020

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1891300539 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 CT · 2402

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.

119C GRISWOLD ST STE 202, Glastonbury, CT 06033

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Other Names 1

Other Name (5)Mandy Lynn Phillips

Secondary Practice Locations 2

Location 121 Middle Tpke EManchester, CT 06040-4249 · Phone (860) 774-2323 · Fax (860) 831-1140

Location 2227 Main StDanielson, CT 06239-2816 · Phone (860) 774-2323 · Fax (860) 831-1140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Tiedeman Lmft 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.

Other Providers at the Same Location NPPES

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

INNERLIGHT WELLNESS COUNSELING PLLC

Marriage & Family Therapist

119C GRISWOLD ST STE 202
GLASTONBURY, CT 06033

Capitol Planning Region (860) 918-7946

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 Mandy Tiedeman's NPI number?

The NPI number for Mandy Tiedeman is 1891300539. It was assigned to this individual provider in the NPPES registry on September 10, 2020. The provider is also known as Mandy Lynn Phillips.

Where is Mandy Tiedeman located?

Mandy Tiedeman practices at 119C Griswold St Ste 202, Glastonbury, CT 06033. The listed phone number is (860) 918-7946.

What is Mandy Tiedeman's specialty?

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

Is Mandy Tiedeman enrolled in Medicare?

Yes. Mandy Tiedeman is registered in the Medicare PECOS enrollment system.

What insurance does Mandy Tiedeman accept?

Health plans from Providence Health Plan list Mandy Tiedeman 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 Mandy Tiedeman was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.