Individual provider Active NPI

Stephanie Ann Mankowski, MA, LPCC, LADC, LMHC

  • Mental Health Counselor
  • Rochester, NY
National Provider Identifier
1710586052
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01912 Issued in MN
Practice address
2604 Elmwood Ave PMB 133
Rochester, NY 14618-4185
Phone
(201) 903-2461
NPI assigned
Oct 19, 2020
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304498 MN
Mental Health Counselor 101YM0800X 014274-01 NY
Mental Health Counselor 101YM0800X 6165 CT
Mental Health Counselor 101YM0800X 01912 MN Primary

Addresses

Primary practice location

2604 Elmwood Ave PMB 133
Rochester, NY 14618-4185

Mailing address

2604 Elmwood Ave PMB 133
Rochester, NY 14618
Phone (201) 903-2461

Other practice location 1

1772 Stieger Lake Ln Ste 220
Victoria, MN 55386-7723
Phone (952) 433-4600

Other practice location 2

545 7th St W
Saint Paul, MN 55102-3007
Phone (612) 235-4616

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
304498MNMDAddiction (Substance Use Disorder) Counselor
6165CTMDMental Health Counselor
01912MNMDMental Health Counselor
014274-01NYMDMental Health Counselor
1912MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Unicorn Counseling, LLC PastSince May 26, 2024 Accepting new patients
Authentic Life Mental Health Counseling, PLLC Mental Health PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1710586052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 ELMWOOD AVE PMB 133",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "201-903-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 ELMWOOD AVE PMB 133",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184185",
            "telephone_number": "201-903-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1772 Stieger Lake Ln Ste 220",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "MN",
            "postal_code": "553867723",
            "country_code": "US",
            "telephone_number": "952-433-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 7th St W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551023007",
            "country_code": "US",
            "telephone_number": "612-235-4616",
            "fax_number": "651-666-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKOWSKI",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MA, LPCC, LADC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304498",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014274-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "6165",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.