Active NPI
Stephanie L Lund, L.M.F.T
- Marriage & Family Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 445 Etna St Ste 55
Saint Paul, MN 55106-5848 - Phone
- (651) 254-4804
- Fax
- (651) 254-9238
- NPI assigned
- Feb 22, 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 | 1472 | MN | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
445 Etna St Ste 55
Saint Paul, MN 55106-5848
Mailing address
3632 Pascal Ave
Arden Hills, MN 55112-6905
Phone (612) 558-0717
Other practice location 1
3632 Pascal Ave
Arden Hills, MN 55112-6905
Phone (612) 558-0717
Other practice location 2
247 Teckla Ct
Lino Lakes, MN 55014-2904
Phone (651) 792-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 652987000 | Other | MN | MEDICAL ASSISTANCE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1029 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4400
1071 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1472 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Health | Current | Accepting new patients |
Locations
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
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.
-
dba Hutchinson Health Hospital
- General Acute Care Hospital
- Hutchinson, MN
- NPI 1053508820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1578698338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3632 PASCAL AVE",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551126905",
"telephone_number": "612-558-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 ETNA ST STE 55",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551065848",
"telephone_number": "651-254-4804",
"fax_number": "651-254-9238"
}
],
"practiceLocations": [
{
"address_1": "3632 Pascal Ave",
"address_purpose": "LOCATION",
"city": "Arden Hills",
"state": "MN",
"postal_code": "551126905",
"country_code": "US",
"telephone_number": "612-558-0717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "247 Teckla Ct",
"address_purpose": "LOCATION",
"city": "Lino Lakes",
"state": "MN",
"postal_code": "550142904",
"country_code": "US",
"telephone_number": "651-792-0060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUND",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "L.M.F.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "1472",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "652987000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.