Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Kaye Tacker, PHD, LMFT, LADC

Individual provider Marriage & Family Therapist · NPI 1629269626

Mary Kaye Tacker, PHD, LMFT, LADC is a Marriage and Family Therapist in St Cloud, Minnesota. Qualified in 2002, 24 years ago. Practices with St Cloud Hospital, a 215-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1406 6th Avenue North St Cloud Hospital
St Cloud, MN 56303-1901
Phone: (320) 251-2700
Fax: (320) 229-5109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1490 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 301691 (MN)

Record details

NPI number1629269626
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LMFT , LADC
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESJanuary 18, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice St Cloud Hospital — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in St Cloud