Stephanie M Helgerson, MSE CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8097 Issued in MN

Practice address

9048 Peony LN N
Maple Grove, MN 55311-4417

Phone

(763) 416-9313

Fax

(763) 416-4530

NPI assigned

Dec 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidspeak LTD.

  • Speech-Language Pathologist
  • Minnetonka, MN
  • NPI 1336205004
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184780439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 CRYSTAL LAKE TER",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065006",
            "telephone_number": "952-898-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 PEONY LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114417",
            "telephone_number": "763-416-9313",
            "fax_number": "763-416-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGERSON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "MSE CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "542G8HE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannette A Heidlberg, M.D.
• Adam Randy Hein, L. AC., M. OM.
• Aimee Heinen, CNP
• Karen Held, PSY.D., LP
• Bernt J Helgaas, M.D.
• Thomas J Helm, M.D.
• Andrew E Helmich, DDS, MS
• Helminger Chiropractic, P.a.
• Troy Sommers Hemme, DO
• Mark S Hench, M.D.

• Speech-Language Pathologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.