NPIMap

Organization Active NPI

Hardy & Stephens Counseling Associates PLLC

  • Mental Health Counselor
  • Elk River, MN
National Provider Identifier
1871659623
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HARDY & STEPHENS COUNSELING ASSOCIATES PLLC
Practice address
11070 183Rd Cir NW
Elk River, MN 55330-2842
Phone
(763) 633-5111
Fax
(763) 633-5112
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Mrs. Jill Stephens, LPNPI 1013073899
Title
President
Phone
(763) 633-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11070 183Rd Cir NW
Elk River, MN 55330-2842

Mailing address

11070 183Rd Cir NW
Elk River, MN 55330-2842
Phone (763) 633-5111

Other identifiers 1

IdentifierTypeStateIssuer
526644100OtherMNMEDICAL ASSISTANCE

Other names 1

  • The Center for Hope and Healing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230518000683 MN Part B Supplier - Clinic/Group Practice 6305201278 Receives reassigned benefits from 17 practitioners
Practice locations: Elk River, MN

National Provider Directory

National Provider Directory

Locations

11070 183rd Cir NW
Elk River, MN 55330
Phone (763) 633-5111

11070 183rd Cir NW
Ste C
Elk River, MN 55330
Phone (763) 257-5301

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1871659623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 183RD CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302842",
            "telephone_number": "763-633-5111",
            "fax_number": "763-633-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 183RD CIR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302842",
            "telephone_number": "763-633-5111",
            "fax_number": "763-633-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY & STEPHENS COUNSELING ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-633-5111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "526644100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Hope and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.