Stacy Jean Christensen, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

658 Grand Ave Ste 202
Saint Paul, MN 55105-3492

Phone

(612) 454-1656

NPI assigned

Oct 22, 2020

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

Medicare enrollment (NPD)

Enrolled

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.

• Grander Peace Counseling LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1013486505
  Medicare reassignment NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1346849015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 GRAND AVE STE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053492",
            "telephone_number": "612-454-1656",
            "fax_number": "651-560-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 GRAND AVE STE 202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053492",
            "telephone_number": "612-454-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "STACY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Everett Christensen, D.C.
• Daniel Anthony Christensen, PSY.D
• Kristin Mau Christensen, LICSW
• Louis John Christensen, D.D.S.
• Rhett Douglas Christensen, DNP
• Bret Christenson
• Christian Wolfe PLLC (Fides Catholic)
• Christian Wolfe PLLC
• Kristin Schmiesing Christians, MS, CCC-SLP
• Alexandra Rose Christiansen

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.