Clearwaters Crosby LLC
Clearwaters Crosby LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Crosby, MN, holding Type 2 (organization) NPI 1093389736 since 2021. The authorized official on file is Tanya Kubista, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093389736 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Clearwaters Crosby LLC |
| Practice address | 207 1ST ST NW, Crosby, MN, 56441 |
| Phone | 2185852052 |
| Enumeration date | 2021-05-17 |
| Last updated in NPPES | 2024-09-28 |
Authorized official
| Name | Tanya Kubista |
|---|---|
| Title | Owner |
| Phone | 2185852052 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154711406 | Medicaid | MN | — |
| 1093389736 | Medicaid | MN | — |
Copy-ready billing details
Provider: Clearwaters Crosby LLC NPI: 1093389736 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 207 1ST ST NW, Crosby, MN, 56441
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154711406 | Tanya Kubista | Individual | Marriage & Family Therapist | Crosby, MN |
| 1457025439 | Theresa Odden | Individual | Mental Health Counselor | Crosby, MN |
| 1912660259 | Northernwaters Counseling LLC | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Crosby, MN |
Verify this record
Cross-check NPI 1093389736 against the authoritative CMS record: view Clearwaters Crosby LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Clearwaters Crosby LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-09-28.