STEPHANIE LYNN WHITE EAGLE MFT,CSAC
NPI 1184957334
Marriage & Family Therapist in Baraboo, WI

Q: What is Stephanie White Eagle's NPI number?

The NPI number for Stephanie White Eagle is 1184957334. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Q: What is Stephanie White Eagle's specialty?

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

Active since September 04, 2009PECOS EnrolledAccepts Medicare Assignment

S2845 WHITE EAGLE RD, BARABOO, WI 53913(608) 355-1240(608) 356-7152 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Stephanie Lynn White Eagle Mft,csac NPPES

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

STEPHANIE LYNN WHITE EAGLE MFT,CSAC (NPI 1184957334) is an individual marriage & family therapist in Baraboo, Wisconsin, licensed in Wisconsin (1258-124) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1184957334

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTEPHANIE LYNN WHITE EAGLECredential: MFT,CSAC

Location AddressS2845 WHITE EAGLE RDBaraboo, WI 53913-9064

Mailing AddressS2845 White Eagle RdBaraboo, WI 53913-9064 · (608) 355-1240 · Fax (608) 356-7152

Phone(608) 355-1240

Fax(608) 356-7152

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateSeptember 4, 2009

Last NPPES UpdateOctober 24, 2019

✔ NPI 1184957334 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

License✔ Licensed in WI · 1258-124

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11480-132 (WI)

S2845 WHITE EAGLE RD, Baraboo, WI 53913

Open in Google Maps ↗

Other Identifiers 1

Medicaid1184957334WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Lynn White Eagle Mft,csac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830532720

PECOS Enrollment IDI20240207003295

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 20

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

HEIDI M. ROTH

Dental Hygienist