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

Mary Souder

Individual provider Professional Counselor · NPI 1831587062

Mary Souder is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2008, 18 years ago. Practices with Tiny Tree Counseling and Consulting, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3950 Lyndale Ave S Ste 2
Minneapolis, MN 55409-1465
Phone: (612) 234-1807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 00868 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 868 (MN)

Record details

NPI number1831587062
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2014
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Tiny Tree Counseling And Consulting, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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