EVAN STANFORTH PH.D., LP
NPI 1245716703
Psychologist - Counseling in Woodbury, MN

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment
1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 714-9646 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Jul 17, 2018 (2 updates tracked since 2018).

About Evan Stanforth Ph.d., Lp NPPES

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

EVAN STANFORTH PH.D., LP (NPI 1245716703) is an individual counseling provider in Woodbury, Minnesota, licensed in Minnesota (LP6669) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245716703
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameEVAN STANFORTHCredential: PH.D., LP
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 17, 2018
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1245716703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in MN · LP6669
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
1811 WEIR DR STE 270, Woodbury, MN 55125

Accepted 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

Evan Stanforth Ph.d., Lp 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 ID4789084120
PECOS Enrollment IDI20210607002514
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.

Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Stanforth's NPI number?

The NPI number for Evan Stanforth is 1245716703. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Evan Stanforth located?

Evan Stanforth practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (651) 714-9646.

What is Evan Stanforth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Evan Stanforth enrolled in Medicare?

Yes. Evan Stanforth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Evan Stanforth accept?

Health plans from HealthPartners and Providence Health Plan list Evan Stanforth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Stanforth was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.