Stacey Lynn Boysen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22811 Issued in MN

Practice address

1880 Austin Rd Ste 1
Owatonna, MN 55060-4544

Phone

(507) 214-2016

Fax

(507) 214-2017

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Lynn Crowson 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

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Circle Counseling and Wellness, PCGroup PAC ID 0547643298, 5 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Circle Counseling and Wellness, PC

  • Mental Health Counselor
  • Owatonna, MN
  • NPI 1831739788

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1912738832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 3RD ST SE",
            "city": "KASSON",
            "state": "MN",
            "postal_code": "559441696",
            "telephone_number": "507-244-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD STE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604544",
            "telephone_number": "507-214-2016",
            "fax_number": "507-214-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYSEN",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "CROWSON",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie Bock
• Bradley A Bohn, MD
• Abass Boke
• Daniel Borkenhagen
• Jessica Joy Borkenhagen
• Jessica Bradford, BS, LADC, BCC
• Adam Christopher Brandl, FNP-BC
• Sean M Brennan, M.D.
• Karen Brennhofer, AUD
• Courtney Breyer, RN

• Clinical Social Worker in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.