Individual provider Active NPI

Marcie L Stresemann, LPCC

  • Mental Health Counselor
  • Fridley, MN
National Provider Identifier
1003915935
Registry record updated Mar 12, 2024
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00027 Issued in MN
Practice address
7260 University Ave NE
Suite 235
Fridley, MN 55432-3126
Phone
(763) 572-2605
Fax
(763) 572-2606
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC00027 MN Primary
Mental Health Counselor 101YM0800X LPC 103 MN

Addresses

Primary practice location

7260 University Ave NE
Suite 235
Fridley, MN 55432-3126

Mailing address

27775 112TH St
Zimmerman, MN 55398-9458
Phone (763) 856-4131

Other identifiers 1

IdentifierTypeStateIssuer
HP69922OtherMNHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CC00027MNMDMental Health Counselor
LPC 103MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Counseling Center CurrentSince Oct 19, 2009 Accepting new patients
Aria Counseling Assessment and Mediation Centers PLLC PastSince Jan 1, 2014 Accepting new patients

Locations

7260 University Ave NE
Ste 235
Minneapolis, MN 55432
Phone (763) 572-2605

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1003915935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27775 112TH ST",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553989458",
            "telephone_number": "763-856-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "SUITE 235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323126",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRESEMANN",
        "first_name": "MARCIE",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00027",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LPC 103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP69922",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.