Carissa Elizabeth Stepan, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5209 Issued in MN

Practice address

1751 Tower Dr W Ste 200
Stillwater, MN 55082-7596

Phone

(651) 439-2059

Fax

(888) 675-8262

NPI assigned

Jan 8, 2010

Last updated

Nov 5, 2020By the provider in NPPES

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

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fields of Grace Counseling and Wellness IncGroup PAC ID 8123425048, 2 clinicians

Practice addresses (Care Compare)

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

• Fields of Grace Counseling and Wellness Inc

  • Clinical Psychologist
  • Stillwater, MN
  • NPI 1639747918
  Medicare reassignment Care Compare group NPD Authorized official
• Rush Inc

  • Psychologist
  • Stillwater, MN
  • NPI 1801942040
  Medicare reassignment NPD
• Familymeans

  • Mental Health Counselor
  • Stillwater, MN
  • NPI 1881690899
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1114257417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 101ST AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341083201",
            "telephone_number": "651-439-2059",
            "fax_number": "888-675-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 TOWER DR W STE 200",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827596",
            "telephone_number": "651-439-2059",
            "fax_number": "888-675-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Northwestern Ave.",
            "address_2": "FamilyMeans",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827534",
            "country_code": "US",
            "telephone_number": "651-439-4840",
            "fax_number": "651-439-4894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPAN",
        "first_name": "CARISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyndra Yvonne Steffes, MSN, CNP, NP-C
• Lauryn Kristyne Steinberger
• Marin Stellner, MSW, LGSW
• Donna Stenberg, D.D.S.
• Sally A Steneman, SLP
• Aliyah Stephens, PA-C
• Mary Jeanne Mooney-Leber Stephens, APRN, CNP
• Pannaporn Stephenson, DDS
• Janet Sterk, M.A., L.M.F.T.
• Leah M Sterud

• Clinical Psychologist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.