Active NPI
Stephanie Wilhelm Martensen, LPC
- Professional Counselor
- Rolla, MO
National Provider Identifier
1477672749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2000156018
- Practice address
- 1450 E 10TH St
Rolla, MO 65401-3648 - Phone
- (888) 403-1071
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2000156018 | MO | |
| Professional Counselor | 101YP2500X | 2000156018 | MO | Primary |
Addresses
Primary practice location
1450 E 10TH St
Rolla, MO 65401-3648
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
214 W Scioto St
Saint James, MO 65559-1438
Phone (573) 263-4454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497187609 | Medicaid | MO |
Other names 1
- Stephanie Wilhelm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000156018 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1477672749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013648",
"telephone_number": "888-403-1071"
}
],
"practiceLocations": [
{
"address_1": "214 W Scioto St",
"address_purpose": "LOCATION",
"city": "Saint James",
"state": "MO",
"postal_code": "655591438",
"country_code": "US",
"telephone_number": "573-263-4454",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTENSEN",
"first_name": "STEPHANIE",
"middle_name": "WILHELM",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2000156018",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2000156018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497187609",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "WILHELM",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.