Active NPI
Stepping Stones Counseling LLC
- Clinical Social Worker
- Shakopee, MN
National Provider Identifier
1508263039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16742
- Legal business name
- STEPPING STONES COUNSELING LLC
- Practice address
- 8170 Old Carriage CT
Suite 200
Shakopee, MN 55379-3163 - Phone
- (507) 530-3852
- NPI assigned
- Nov 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Kack, MSW, LICSW, LADC
- Title
- Psychotherapist
- Phone
- (507) 530-3852
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302218 | MN | |
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | 16742 | MN | Primary |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
8170 Old Carriage CT
Suite 200
Shakopee, MN 55379-3163
Mailing address
800 E Orchard St
Belle Plaine, MN 56011-2182
Phone (507) 530-3852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Shakopee, MN
- NPI 1184049173
-
- Psychiatric/Mental Health Nurse Practitioner
- Park Rapids, MN
- NPI 1184857021
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1164256087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416960000000",
"number": "1508263039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E ORCHARD ST",
"city": "BELLE PLAINE",
"state": "MN",
"postal_code": "560112182",
"telephone_number": "507-530-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8170 OLD CARRIAGE CT",
"address_2": "SUITE 200",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793163",
"telephone_number": "507-530-3852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPPING STONES COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A",
"authorized_official_last_name": "KACK",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "507-530-3852",
"authorized_official_credential": "MSW, LICSW, LADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302218",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "16742",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.