Emily Ann Stevenson, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5827 Issued in WI

Practice address

901 4TH St Ste 165
Hudson, WI 54016

Phone

(612) 743-5889

Fax

(763) 210-6886

NPI assigned

Apr 15, 2013

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Bridge: Counseling, Psychotherapy, and Wellness

  • Professional Counselor
  • Cottage Grove, MN
  • NPI 1336750785
  NPD (past) Authorized official

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1710320213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7987 63RD ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166019",
            "telephone_number": "612-743-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH ST STE 165",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "612-743-5889",
            "fax_number": "763-210-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Rose Statz, LCSW
• Marta Elaine Stavreff, RPH
• STCH NW Wi Opco LLC (St Croix Hospice)
• Stephen G. Flikke D.C. S.C.
• Anne Stephenson, MS, CNS
• Alanna M Stohr
• Trisha Marie Stork, COTA
• Pamela Stoutenburg, CDE, RN
• Robert J Stoy, MD
• Nicole Streif, M.S. CCC-SLP

• Mental Health Counselor in Hudson, WI
• Providers in Hudson, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.