TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM (NPI# 1366959967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366959967 |
| Entity Type | Organization |
| Organization Name | TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM |
| Practice Address |
115 5th St N Breckenridge MN 56520-1434 |
| Practice Telephone | 2186510212 |
| Practice Fax Number | 2186510220 |
| Mailing Telephone | 2186510212 |
| Mailing Fax Number | 2186510220 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Authorized Official Name | DR. DONYA BERTEEN BLAIR-TISCHER (OWNER) |
| Authorized Official Telephone | 2186510212 |
| Authorized Official Credential | MA, PSYD, LPCC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1090064 | MN | Ambulatory Health Care Facilities |
| Street Address |
115 5TH ST N |
| City | BRECKENRIDGE |
| State | MN |
| Zip Code | 56520-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578614038 | Solutions Counseling Services, Inc. | Social Worker | 115 5th St N, Breckenridge, MN 56520-1434 | 2007-01-12 |
| 1285009159 | Ashley E. Thompson | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2015-12-03 |
| 1033516695 | Tischer Therapeutic Services | Community/Behavioral Health | 115 5th St N, Breckenridge, MN 56520-1434 | 2014-11-25 |
| 1699174326 | Donya Blair-tischer | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2014-08-19 |
| 1346593365 | Kallie Marsh | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2012-10-16 |
| 1164788600 | Renata Raye Bosek | Counselor | 115 5th St N, Breckenridge, MN 56520-1434 | 2012-04-10 |
| 1831371301 | Brandt Opticare | Optometrist | 115 5th St N, Breckenridge, MN 56520-1434 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
| 1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
| 1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
| 1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
| 1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
| 1194158006 | Jennifer L Schalekamp | Physical Therapist | 430 5th St N, Breckenridge, MN 56520 | 2013-08-14 |
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| Find all providers in zip 56520 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340036 | Humble Recovery | Clinic/Center | 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 | 2020-03-10 |
| 1366096307 | Centered On Youth | Clinic/Center | 3210 Oliver Ave N, Minneapolis, MN 55412-2316 | 2019-07-29 |
| 1881250785 | Adap Consulting | Clinic/Center | 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 | 2019-05-15 |
| 1821550005 | Coscarelli Consulting, LLC | Clinic/Center | 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 | 2019-04-04 |
| 1669943908 | Capital Health Services LLC | Clinic/Center | 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 | 2018-12-16 |
| 1013497916 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 | 2018-08-20 |
| 1780186130 | Alliance Wellness Clinic Inc. | Clinic/Center | 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 | 2018-03-01 |
| 1447795596 | Conceptual Counseling & Assessment | Clinic/Center | 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 | 2016-12-28 |
| 1871035568 | No Other Way (now) Recovery Services LLC | Clinic/Center | 1614 W 3rd St, Red Wing, MN 55066-2086 | 2016-11-11 |
| 1104374073 | Lakes Opioid Treatment Program, Inc | Clinic/Center | 8381 Lake Land Trl Nw, Walker, MN 56484-2109 | 2016-09-20 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 56520 |
Please comment or provide details below to improve the information on TISCHER THERAPEUTIC SERVICES SUBSTANCE ABUSE TREATMENT PROGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.