Organization Active NPI

Fields of Grace Counseling and Wellness Inc

  • Clinical Psychologist
  • Stillwater, MN
National Provider Identifier
1639747918
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FIELDS OF GRACE COUNSELING AND WELLNESS INC
Practice address
522 4TH St S # 103
Stillwater, MN 55082-4966
Phone
(651) 300-2088
NPI assigned
Jun 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carissa Stepan, PSYDNPI 1114257417
Title
Owner
Phone
(651) 236-0976

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

522 4TH St S # 103
Stillwater, MN 55082-4966

Mailing address

522 4TH St S # 103
Stillwater, MN 55082-4966
Phone (651) 300-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210920003030 MN Part B Supplier - Clinic/Group Practice 8123425048 Receives reassigned benefits from 2 practitioners
Practice locations: Stillwater, MN

National Provider Directory

National Provider Directory

Locations

522 4th St S
Ste 103
Stillwater, MN 55082
Phone (651) 300-2088

522 4th St S
#103
Stillwater, MN 55082
Phone (651) 300-2088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1639747918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 4TH ST S # 103",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824966",
            "telephone_number": "651-300-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 4TH ST S # 103",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824966",
            "telephone_number": "651-300-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS OF GRACE COUNSELING AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "STEPAN",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-236-0976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.

Verify at the official NPI Registry.