Individual provider Active NPI

Stephanie L Lund, L.M.F.T

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1578698338
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on May 2, 2019

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 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

IdentifierTypeStateIssuer
652987000OtherMNMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227000684 MN Practitioner - Marriage and Family Therapist 3173043627 Reassigns benefits to 1 organization

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
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians

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

LicenseStateTypeSpecialty
1472MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Feb 1, 2025 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.

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

Verify at the official NPI Registry.