Healthcare Provider Details

I. General information

NPI: 1255295051
Provider Name (Legal Business Name): TWIN PINES COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10739 CHACO TERRACE ST NW
ALBUQUERQUE NM
87114-6115
US

IV. Provider business mailing address

63108 COUNTY RD 5
FRANKLIN MN
55333
US

V. Phone/Fax

Practice location:
  • Phone: 505-991-3150
  • Fax: 866-667-2514
Mailing address:
  • Phone: 320-522-3445
  • Fax: 866-667-2514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. RYAN JEROME TINGLEY
Title or Position: OWNER/OPERATOR
Credential: LPCC
Phone: 320-522-3455