MS. TAMMY JEAN JUTEN (PSYD) – Counselor, NPI 1396795290

MS. TAMMY JEAN JUTEN (PSYD) is a healthcare provider. based in Duluth, Minnesota. specializing in Counselor. They hold the professional credentials PSYD. They hold a License No. LP3543 (MN). The NPI Number for MS. TAMMY JEAN JUTEN (PSYD) is 1396795290

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMMY JEAN JUTEN (PSYD)
NPI
1396795290
Phone
(218) 249-7000
Address
220 N 6TH AVE E
Enumeration Date
11 May 2006
Last Update Date
20 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
5991971970
Group Practice PAC ID
7113834839
Professional Enrollment ID
I20111221000298

Contacts

Secure Messaging
him@slk.direct.slhduluth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MS. TAMMY JEAN JUTEN (PSYD)

  • 220, North 6th Avenue East, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH, MN 558051952

    Phone: (218) 249-7000

    Mailing address matches the actual address.

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: 2011-12-21

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
I20111221000298IClinical PsychologistMNTBD

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 55805)

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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: 7113834839View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Vascular SurgeryIL
Physician AssistantMN
Emergency MedicineMN
-MN
Emergency MedicineMN
-MN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

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Frequently asked questions

How do payers reference MS. TAMMY JEAN JUTEN (PSYD)?
For MS. TAMMY JEAN JUTEN (PSYD), use NPI 1396795290 as the unique 10-digit identifier.
Is there an active status for MS. TAMMY JEAN JUTEN (PSYD)?
For scheduling context, MS. TAMMY JEAN JUTEN (PSYD) is shown as active in the registry.
How would a patient describe MS. TAMMY JEAN JUTEN (PSYD)'s focus?
For MS. TAMMY JEAN JUTEN (PSYD), the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. TAMMY JEAN JUTEN (PSYD)?
Directory geography for MS. TAMMY JEAN JUTEN (PSYD) centers on Duluth, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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