Stephanie Locken, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3568 Issued in MN

Practice address

15088 22ND Ave NE Ste 2
Little Falls, MN 56345-3634

Phone

(320) 630-2782

Fax

(888) 892-4587

NPI assigned

Jan 17, 2019

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

Other names 1

• Stephanie Mackissock Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind and Body Counseling

  • Marriage & Family Therapist
  • Little Falls, MN
  • NPI 1912752403
  Medicare reassignment NPD Authorized official
• True Balance LTD

  • Multi-Specialty Clinic/Center
  • Little Falls, MN
  • NPI 1205025442

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1750855227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6568 230TH ST",
            "city": "RANDALL",
            "state": "MN",
            "postal_code": "564752414",
            "telephone_number": "320-630-2782",
            "fax_number": "888-892-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15088 22ND AVE NE STE 2",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453634",
            "telephone_number": "320-630-2782",
            "fax_number": "888-892-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKEN",
        "first_name": "STEPHANIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MACKISSOCK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Little Falls Hearing Clinic, LLC
• Little Falls Integrated Physical Medicine
• Little Falls Medical Center, PA
• Little Falls Orthopedics, PA
• Charlotte Ann Lock, MA, LPCC, LADC
• Amanda Lea Lovold, DO
• Keya M Loy
• Lutheran Care Center Inc
• A. Clinton Mackinney, MD, MS
• Amir Makhmalbaf, M.D.

• Marriage & Family Therapist in Little Falls, MN
• Providers in Little Falls, 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 Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.