Stepping Stone Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STEPPING STONE COUNSELING, LLC

Practice address

339 9TH St Ste C
Windom, MN 56101-1694

Phone

(507) 221-0005

Fax

(507) 299-9924

NPI assigned

Oct 16, 2020

Organization subpart

No

Name

Kerstin Lynn Cooley, MSW, LICSWNPI 1285971713

Title

Outpatient Therapist

Phone

(507) 221-0005

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerstin Lynn Cooley, LICSW

  • Clinical Social Worker
  • Windom, MN
  • NPI 1285971713
  Medicare reassignment Care Compare group NPD Authorized official MN
• Anita Marie Handevidt, RN CNP CNS

  • Clinical Nurse Specialist
  • Jackson, MN
  • NPI 1891705968
  Medicare reassignment Care Compare group NPD MN

Medicare fee-for-service enrollment

Enrolled in MN

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2020.

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1083212419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561010372",
            "telephone_number": "507-221-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 9TH ST STE C",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011694",
            "telephone_number": "507-221-0005",
            "fax_number": "507-299-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "KERSTIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST",
        "authorized_official_telephone_number": "507-221-0005",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "steppingstonecounseling@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Windom",
            "address_1": "339 9th St Ste C",
            "city": "Windom",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561011694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Windom, MN
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.