Stacie Peckels, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5353 Wayzata Blvd Ste 200
St Louis Park, MN 55416-1338

Phone

(612) 281-5764

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

No

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

Master of Arts

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1720800071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 WINNETKA AVE N APT 321",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554273664",
            "telephone_number": "612-281-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 WAYZATA BLVD STE 200",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161338",
            "telephone_number": "612-281-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKELS",
        "first_name": "STACIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paxxon Healthcare Services LLC
• Matthew M. Paymar, M.A., LPCC
• Gina E Payne
• PDG, P.a.
• Adina L Peck, DNP, RN, CNP
• Kerry Pedersen, PA
• David Warren Pederson, DPM
• Ryan A Pederson, PHARMD
• Pediatric Services PA
• Sue Ellen Peffer, PT

• Marriage & Family Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.