STACIA JEPPSON NPI 1386048247

NPI Information

  • NPI: 1386048247
  • Provider Name: STACIA JEPPSON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3018 LAKE SHORE DR
    MINNEAPOLIS, MN
    ZIP 55416
  • Phone: (320) 493-8522

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NPI Details

Stacia Jeppson is a professional counselor in Minneapolis, MN with 10 years of experience. Stacia Jeppson NPI is 1386048247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3018 LAKE SHORE DR
MINNEAPOLIS, MN
ZIP 55416-282
Phone: (320) 493-8522

The NPI 1386048247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 10/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalCC02209MINNESOTAYes
2390200000XStudent in an Organized Health Care Education/Training Program411946275MINNESOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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