TIA DVORAK MS LMFT
NPI 1912383969
Marriage & Family Therapist in Elk River, MN

Q: What is Tia Dvorak's NPI number?

The NPI number for Tia Dvorak is 1912383969. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Q: What is Tia Dvorak'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 Tia Dvorak was last updated on April 3, 2024. 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 July 31, 2015PECOS Enrolled

18336 JOPLIN ST NW, ELK RIVER, MN 55330(763) 350-9687(651) 447-5394 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Apr 1, 2021, Dec 2, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Tia Dvorak Ms Lmft NPPES

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

TIA DVORAK MS LMFT (NPI 1912383969) is an individual marriage & family therapist in Elk River, Minnesota, licensed in Minnesota (2822) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912383969

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTIA DVORAKCredential: MS LMFT

Location Address18336 JOPLIN ST NWElk River, MN 55330-1773

Mailing Address18336 Joplin St NwElk River, MN 55330-1773 · (763) 350-9687 · Fax (651) 447-5394

Phone(763) 350-9687

Fax(651) 447-5394

Sole ProprietorNo

Enumeration DateJuly 31, 2015

Last NPPES UpdateApril 3, 20244 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1912383969 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 · 2822

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.

18336 JOPLIN ST NW, Elk River, MN 55330

Open in Google Maps ↗

Other Identifiers 1

Medicaid2822MN

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 (PECOS)

Tia Dvorak Ms 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 9

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

ALYSSA CATHERINE WENTWORTH M.S., LPC

Counselor (Professional)