MARK STEGEMAN (NPI# 1548666985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548666985 |
| Entity Type | Organization |
| Organization Name | MARK STEGEMAN |
| Other Organization Name | LEGACY COUNSELING SERVICES |
| Practice Address |
209 Maple Ave E Mora MN 55051-1363 |
| Mailing Address |
17396 Snowshoe Dr Ironton MN 56455-2195 |
| Practice Telephone | 6514971021 |
| Mailing Telephone | 6514971021 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | MARK STEGEMAN (LMFT) |
| Authorized Official Telephone | 6514971021 |
| Authorized Official Credential | MA, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2524 | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Legacy Counseling Services | Doing Business As Name - Organization |
| Street Address |
209 MAPLE AVE E |
| City | MORA |
| State | MN |
| Zip Code | 55051-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
| 1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
| 1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
| 1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
| 1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
| 1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
| Find all providers in zip 55051 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194055624 | Vicki K Stiles Lpcc | Community/Behavioral Health | 580 State Hwy 518, Mora, NM 87732 | 2010-01-06 |
| 1124161070 | Helping Hands Inc. | Community/Behavioral Health | Highway 528, Mora, NM 87732-0708 | 2007-02-14 |
| 1194278655 | Recovering Hope Treatment Center, Inc. | Community/Behavioral Health | 2031 Rowland Rd, Mora, MN 55051-7119 | 2016-08-01 |
| 1700047552 | Kanabec County Family Services | Community/Behavioral Health | 905 Forest Ave E, Suite 150, Mora, MN 55051-1624 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.