MEDICARE: TUTAPONA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1942863378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUTAPONA INC

Provider Business Mailing Address
First Line	:	PO BOX 214
Second Line	:
City	:	NEW RICHMOND
State	:	WI
Zip	:	54017-0214
Country	:	US
Telephone Number	:	715-222-6028
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 COUNTY ROAD B2 W STE 270
Second Line	:
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-2785
Country	:	US
Telephone Number	:	715-222-6028
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CARL GAEDE
Credential	:	MSW
Telephone Number	:	715-222-6028

Provider Enumeration Date	:	04/22/2019
Last Update Date	:	04/22/2019

Similar Medicare Providers

1295738029 — DR. TODD MICHAEL SIGLER PSY.D., LP, NCC
Practice Location Address:

1935 COUNTY ROAD B2 W STE 270
ROSEVILLE, MN
55113-2785

Practice Phone: 651-481-0664
Practice Fax: 612-392-0400

1467547257 — DR. MAURICE BRADLEY SMITH PH.D.,L.P.
Practice Location Address:

1935 COUNTY ROAD B2 W STE 270
ROSEVILLE, MN
55113-2785

Practice Phone: 651-481-0664
Practice Fax: 651-846-5877

1831316025 — CARL GAEDE LCSW
Practice Location Address:

1935 COUNTY ROAD B2 W STE 270
ROSEVILLE, MN
55113-2785

Practice Phone: 715-222-6028
Practice Fax:

1205666351 — WANDERING WELL COUNSELING AND CONSULTING LLC
Practice Location Address:

1645 ROSE PL
ROSEVILLE, MN
55113-2802

Practice Phone: 763-292-3859
Practice Fax: 763-272-7273

1750236949 — WILDBEING COUNSELING LLC
Practice Location Address:

1186 BURKE AVE W
ROSEVILLE, MN
55113-5963

Practice Phone: 631-682-8411
Practice Fax:

1952256000 — MOHAMUD KHAYRE
Practice Location Address:

2355 HIGHWAY 36 W
ROSEVILLE, MN
55113-3902

Practice Phone: 612-644-4942
Practice Fax:

Directions to “TUTAPONA INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.