Individual provider Active NPI

Stephanie Lee Meittunen, MSW, LGSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Grand Rapids, MN
National Provider Identifier
1982590196
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
306869 Issued in MN
Practice address
2086 Ridgeway Dr
Grand Rapids, MN 55744-4421
Phone
(218) 326-1443
Fax
(218) 326-4390
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33139 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 306869 MN Primary

Addresses

Primary practice location

2086 Ridgeway Dr
Grand Rapids, MN 55744-4421

Mailing address

2086 Ridgeway Dr
Grand Rapids, MN 55744-4421
Phone (218) 326-1443

Other practice location 1

423 NW 13th St
Grand Rapids, MN 55744-2448
Phone (218) 235-0489

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
306869MNMDAddiction (Substance Use Disorder) Counselor
33139MNMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1982590196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 RIDGEWAY DR",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444421",
            "telephone_number": "218-326-1443",
            "fax_number": "218-326-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 RIDGEWAY DR",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444421",
            "telephone_number": "218-326-1443",
            "fax_number": "218-326-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 NW 13th St",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557442448",
            "country_code": "US",
            "telephone_number": "218-235-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEITTUNEN",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW, LGSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "33139",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.