Individual provider Active NPI

Daniel James Stokman, LPCC

  • Professional Counselor
  • Saint Paul, MN
National Provider Identifier
1356490890
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC07 Issued in MN
Practice address
871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone
(651) 587-1807
NPI assigned
Jan 10, 2007
Last updated
Jul 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 272 MN
Professional Counselor 101YP2500X CC07 MN Primary

Addresses

Primary practice location

871 Jefferson Ave
Saint Paul, MN 55102-2506

Mailing address

557 W. 7TH Street
St Paul, MN 55102
Phone (651) 587-1807

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
I20240719000521 MN Practitioner - Mental Health Counselor 5496291015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novare Counseling Center, P. a.Group PAC ID 3678019296, 2 clinicians

Practice addresses (Care Compare)

871 Jefferson Ave
Saint Paul, MN 55102-2506
Phone (612) 424-9983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC07MNMDProfessional Counselor
7MNMDFamily Nurse Practitioner
272MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Novare Counseling Center, P. a. Professional CurrentSince Jul 1, 2019 Accepting new patients

Locations

557 7th St W
Saint Paul, MN 55102
Phone (651) 234-0891

871 Jefferson Ave
Saint Paul, MN 55102
Phone (612) 424-9983

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1356490890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W. 7TH STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-587-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 JEFFERSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022506",
            "telephone_number": "651-587-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKMAN",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "272",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.