Individual provider Active NPI

Stephanie Elizabeth Ruppert, LMFT

  • Marriage & Family Therapist
  • Isanti, MN
National Provider Identifier
1972230845
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4352 Issued in MN
Practice address
515 1St Ave NW Ste 100
Isanti, MN 55040-7120
Phone
(763) 200-4344
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4352 MN Primary

Addresses

Primary practice location

515 1St Ave NW Ste 100
Isanti, MN 55040-7120

Mailing address

515 1St Ave NW Ste 100
Isanti, MN 55040-7120
Phone (763) 200-4344

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250721004046 MN Practitioner - Marriage and Family Therapist 8527574144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Mental Health, PLLC Marriage & Family Therapist CurrentSince May 5, 2025 Accepting new patients

Locations

244 Main St S
Cambridge, MN 55008
Phone (763) 200-4344

515 1st Ave NW
Ste 100
Isanti, MN 55040
Phone (763) 200-4344

38868 12th Ave
#27
North Branch, MN 55056

Organizations & group practices 1

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1972230845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 1ST AVE NW STE 100",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407120",
            "telephone_number": "763-200-4344",
            "fax_number": "763-265-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 1ST AVE NW STE 100",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550407120",
            "telephone_number": "763-200-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

Verify at the official NPI Registry.