Individual provider Active NPI

Bettina Stuecher

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1790678241
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3098 Issued in MN
Practice address
3252 Bryant Ave S
Minneapolis, MN 55408-3607
Phone
(612) 284-4291
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3098 MN Primary

Addresses

Primary practice location

3252 Bryant Ave S
Minneapolis, MN 55408-3607

Mailing address

4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Phone (612) 284-4291

Other practice location 1

3432 Lyndale Ave S
Minneapolis, MN 55408-4151
Phone (612) 284-4291

Other practice location 2

4344 Nicollet Ave
Minneapolis, MN 55409-2033
Phone (612) 284-4291

Other practice location 3

4500 Park Glen Rd Ste 155
Saint Louis Park, MN 55416-4888
Phone (612) 284-4291

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3098MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinship LLC Mental Health CurrentSince Jun 8, 2025 Accepting new patients
Cedar Hill Therapy, LLC CurrentSince Jun 8, 2025 Accepting new patients
The Lake Group LLC Current Accepting new patients

Locations

4500 Park Glen Rd
Ste 155
St Louis Park, MN 55416
Phone (612) 284-4291

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1790678241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 155",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164888",
            "telephone_number": "612-284-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 BRYANT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083607",
            "telephone_number": "612-284-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3432 Lyndale Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554084151",
            "country_code": "US",
            "telephone_number": "612-284-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4344 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554092033",
            "country_code": "US",
            "telephone_number": "612-284-4291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Park Glen Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Saint Louis Park",
            "state": "MN",
            "postal_code": "554164888",
            "country_code": "US",
            "telephone_number": "612-284-4291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUECHER",
        "first_name": "BETTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.