Active NPI
Marcie L Stresemann, LPCC
- Mental Health Counselor
- Fridley, MN
National Provider Identifier
1003915935
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.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC00027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP69922 | Other | MN | HEALTH 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00027 | MN | MD | Mental Health Counselor |
| LPC 103 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Counseling Center | Current | Accepting new patients | |
| Aria Counseling Assessment and Mediation Centers PLLC | Past | 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.
-
- Psychologist
- Fridley, MN
- NPI 1194836064
-
- Psychologist
- Fridley, MN
- NPI 1649613837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.