Jill Stephens, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP2602 Issued in MN

Practice address

11070 183Rd Cir NW
Elk River, MN 55330-2842

Phone

(763) 633-5111

Fax

(763) 633-5112

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hardy & Stephens Counseling Associates PLLC

  • Mental Health Counselor
  • Elk River, MN
  • NPI 1871659623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1013073899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 183RD CIR NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303701",
            "telephone_number": "763-633-5111",
            "fax_number": "763-633-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 183RD CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302842",
            "telephone_number": "763-633-5111",
            "fax_number": "763-633-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "14772000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Springer
• Brandon Michael Stanek, DC
• Teal Ann Sherwin Stefanik, O.D.
• Micayla Danielle Steflor, DC
• Taylor Jo Stelton
• Samantha Steve
• Jacob Stevens, PHARM D
• Stacy Ann Stroh, M.S. CCC-SLP
• Adam Charles Stumne, DC
• Summit Orthopedics, LTD

• Psychologist in Elk River, MN
• Providers in Elk River, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.