STEPHANIE KANDIE MA LADC LPCC NPI 1639779135

NPI Information

  • NPI: 1639779135
  • Provider Name: STEPHANIE KANDIE, MA, LADC, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5380 BOUNTY ST SE
    PRIOR LAKE, MN
    ZIP 55372
  • Phone: (763) 327-7061

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NPI Details

Stephanie Kandie, MA, LADC, LPCC is a mental health counselor in Prior Lake, MN. Stephanie Kandie, MA, LADC, LPCC NPI is 1639779135. 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:

5380 BOUNTY ST SE
PRIOR LAKE, MN
ZIP 55372-501
Phone: (763) 327-7061
Fax: (612) 488-0596

The enumeration date for this NPI number is 10/26/2020 and was last updated on 10/4/2022.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

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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