Active NPI
Stefanie Minen, L.P.C.
- Professional Counselor
- Salt Lake City, UT
National Provider Identifier
1629201207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7690361-6004
- Practice address
- 525 E 100 S Ste 120
Salt Lake City, UT 84102-2070 - Phone
- (801) 483-2447
- Fax
- (801) 486-8705
- NPI assigned
- Aug 28, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7690361-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 7690361-6004 | UT | |
| Marriage & Family Therapist | 106H00000X | 7690361-6004 | UT | |
| Counselor | 101Y00000X | 7690381-6004 | UT | |
| Professional Counselor | 101YP2500X | 7690361-6004 | UT | Primary |
Addresses
Primary practice location
525 E 100 S Ste 120
Salt Lake City, UT 84102-2070
Mailing address
PO Box 520496
Salt Lake City, UT 84152-0496
Phone (801) 918-4432
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7690381-6004 | UT | MD | Counselor |
| 7690361-6004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1629201207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 520496",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841520496",
"telephone_number": "801-918-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 100 S STE 120",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022070",
"telephone_number": "801-483-2447",
"fax_number": "801-486-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINEN",
"first_name": "STEFANIE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "UT",
"license": "7690361-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "7690361-6004",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "7690361-6004",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "UT",
"license": "7690381-6004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "7690361-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.