STEPHANIE UNTIEDT, PHD, LLC
NPI 1073903886
Counselor - Mental Health in Golden Valley, MN

Active since February 01, 2015
5101 OLSON MEMORIAL HWY STE 4007, GOLDEN VALLEY, MN 55422(763) 595-7294(763) 595-7293 Get Directions Write a Review

NPPES record last updated: February 1, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About STEPHANIE UNTIEDT, PHD, LLC

This page provides the complete NPI Profile along with additional information for Stephanie Untiedt, Phd, Llc, a provider established in Golden Valley, Minnesota operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1073903886 assigned on February 2015. The practitioner's primary taxonomy code is 101YM0800X with license number 4599 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Stephanie Ann Untiedt Phd (Pscyhologist)

NPI
1073903886 Verify this NPI
Provider Name
STEPHANIE UNTIEDT, PHD, LLC
Entity Type
Organization
Location Address
5101 OLSON MEMORIAL HWY STE 4007 GOLDEN VALLEY, MN 55422
Location Phone
(763) 595-7294
Location Fax
(763) 595-7293
Mailing Address
5101 OLSON MEMORIAL HWY STE 4007 GOLDEN VALLEY, MN 55422
Mailing Phone
(763) 595-7294
Mailing Fax
(763) 595-7293
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2015
Last Update Date
02-01-2015
Code Navigator

A mental health counselor like Stephanie Untiedt, Phd, Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
4599
License State
MN

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHANIE ANN UNTIEDT PHD

Authorized Official Title
PSCYHOLOGIST
Authorized Official Phone
(763) 595-7294

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1093756041MEDICAID (05)MN 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073903886, enumerated as an "organization" on February 01, 2015.

The provider is located at 5101 OLSON MEMORIAL HWY STE 4007 GOLDEN VALLEY, MN 55422 and the phone number is (763) 595-7294.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.