Callista Joanne Stephens, MA, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1025 Portland Ave
Minneapolis, MN 55404-1449

Phone

(612) 361-8556

Fax

(612) 338-3653

NPI assigned

Jan 27, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Minnesota Trauma Recovery Institute

  • Counselor
  • Minneapolis, MN
  • NPI 1598303794
  NPD
• RS Eden

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
  • NPI 1063590214
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1124734637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041449",
            "telephone_number": "612-361-8556",
            "fax_number": "612-338-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041449",
            "telephone_number": "612-361-8556",
            "fax_number": "612-338-3653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 E Grant St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554041431",
            "country_code": "US",
            "telephone_number": "612-361-8556",
            "fax_number": "612-338-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CALLISTA",
        "middle_name": "JOANNE",
        "credential": "MA, LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Leigh Stephane, R.PH.
• Stephen G Sinykin DDS PA
• Jenise Stephen, PHARMD
• Stephens Psychological Services
• Angela Stephens
• Claire Pauline Stephens
• Jherika B Stephens
• Aletha Stephenson, CRNP
• Elliot James Price Stephenson, M.D.
• Laurel Elizabeth Garrett Stephenson, MD

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.