Individual provider Active NPI

Stephanie Rae Clausen-Swenson, MA, LPCC, LMFT

  • Mental Health Counselor
  • Westbrook, MN
National Provider Identifier
1154727105
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2975 Issued in MN
Practice address
641 1St Ave Ste 2
Westbrook, MN 56183-9587
Phone
(712) 898-3695
NPI assigned
Nov 18, 2014
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2975 MN Primary

Addresses

Primary practice location

641 1St Ave Ste 2
Westbrook, MN 56183-9587

Mailing address

PO Box 42
Storden, MN 56174-0042
Phone (712) 898-3695

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241209002007 MN Practitioner - Marriage and Family Therapist 4082014121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2975MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
You Beginning Mental Health CurrentSince Sep 9, 2024 Accepting new patients
Greater Minnesota Family Services Mental Health PastSince Sep 6, 2020 Accepting new patients

Locations

641 1st Ave
Ste 2
Westbrook, MN 56183
Phone (507) 407-0109

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1154727105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "STORDEN",
            "state": "MN",
            "postal_code": "561740042",
            "telephone_number": "712-898-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 1ST AVE STE 2",
            "city": "WESTBROOK",
            "state": "MN",
            "postal_code": "561839587",
            "telephone_number": "712-898-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSEN-SWENSON",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "credential": "MA, LPCC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, MN

Sources for this page

Verify at the official NPI Registry.