ASHLEY LYNN TIX (MA) – Marriage & Family Therapist, NPI 1164883773

ASHLEY LYNN TIX (MA) is a healthcare provider. based in St louis park, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. The NPI Number for ASHLEY LYNN TIX (MA) is 1164883773

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY LYNN TIX (MA)
NPI
1164883773
Phone
Not provided
Address
5354 PARKDALE DR
Enumeration Date
9 March 2016
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512171480
Graduation Year
2018 (8 years ago)
PAC ID
0244769073
Group Practice PAC ID
4587104815
Professional Enrollment ID
I20250123003384
Address ID
MN550826379OA5995XNXXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:10State licenses:0Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for ASHLEY LYNN TIX (MA)

  • Parkdale 3, 5354, Parkdale Drive, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    ST LOUIS PARK, MN 554161603

    Phone:

    Type: Mailing

  • 6600 FRANCE AVE S STE 250

    EDINA, MN 554351805

    Phone:

    Type: Mailing

  • 17685 JUNIPER PATH STE 303

    LAKEVILLE, MN 550449821

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250123003384IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587104815View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
P S Y C H I A T R YMN
Nurse PractitionerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Physician AssistantMN
Marriage And Family TherapistMI
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Where can patients find ASHLEY LYNN TIX (MA)'s NPI?
You can confirm ASHLEY LYNN TIX (MA) with NPI 1164883773; it appears in the national provider directory.
Is ASHLEY LYNN TIX (MA) active in the national directory?
ASHLEY LYNN TIX (MA)'s public NPI profile is in an active state.
What field does ASHLEY LYNN TIX (MA) work in?
You can think of ASHLEY LYNN TIX (MA) as practicing within Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is ASHLEY LYNN TIX (MA)'s primary listing?
We display St Louis Park, Minnesota because that is what the record indicates for ASHLEY LYNN TIX (MA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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