STEPHANIE SUMMER KALLIMAN - NPI 1083133540 - Marriage & Family Therapist in Stillwater, MN

Q: What is Stephanie Kalliman's NPI number?

The NPI number for Stephanie Kalliman is 1083133540. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Q: What is Stephanie Kalliman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Stephanie Summer Kalliman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE SUMMER KALLIMAN (NPI 1083133540) is an individual marriage & family therapist in Stillwater, Minnesota and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083133540

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTEPHANIE SUMMER KALLIMAN

Location Address6381 OSGOOD AVE N BLDG CStillwater, MN 55082-6118

Mailing Address6381 Osgood Ave N Bldg CStillwater, MN 55082-6118 · (507) 403-8190 · Fax (651) 383-4544

Phone(507) 403-8190

Fax(651) 383-4544

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 15, 2017

Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration

NPPES CertifiedNovember 19, 2020

✔ NPI 1083133540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6381 OSGOOD AVE N BLDG C, Stillwater, MN 55082

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Summer Kalliman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678098605

PECOS Enrollment IDI20250725000866

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA SANDSTROM OTR/L

Occupational Therapist