Stephanie Summer Kalliman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

6381 Osgood Ave N BLDG C
Stillwater, MN 55082-6118

Phone

(507) 403-8190

Fax

(651) 383-4544

NPI assigned

Sep 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resourced and Resilient LLC

  • Marriage & Family Therapist
  • White Bear Lake, MN
  • NPI 1447114020
  Medicare reassignment NPD Authorized official
• Wholehearted Healing LLC

  • Mental Health Counselor
  • Wayzata, MN
  • NPI 1255934196

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1083133540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 OSGOOD AVE N BLDG C",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826118",
            "telephone_number": "507-403-8190",
            "fax_number": "651-383-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 OSGOOD AVE N BLDG C",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826118",
            "telephone_number": "507-403-8190",
            "fax_number": "651-383-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIMAN",
        "first_name": "STEPHANIE",
        "middle_name": "SUMMER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2021-09-23",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaco Consultants LLC
• Kaco Ocular Prosthetics LLC
• Lena Marie Kaehne
• Ingrid Bwahama Kaijage, M.D.
• Kristen M Kajewski, DO
• Lance Kansas, MD
• Elmer Harold Kasperson, MD
• Jesse Katzman, L.AC.
• Julie Anne Kaufman, MA, LPC, RYT-200
• Kari Kelcher, LMFT

• Marriage & Family Therapist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.