DR. STEPHANIE STACY SMITH PSY.D.,LP
NPI 1336673847
Psychologist - Clinical in Shakopee, MN

Q: What is Stephanie Smith's NPI number?

The NPI number for Stephanie Smith is 1336673847. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Q: What is Stephanie Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Smith was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 12, 2017PECOS Enrolled

200 4TH AVE W, GOVERNMENT CENTER, RM 300, SHAKOPEE, MN 55379(952) 496-8614(952) 496-8355 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Stephanie Stacy Smith Psy.d.,lp NPPES

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

DR. STEPHANIE STACY SMITH PSY.D.,LP (NPI 1336673847) is an individual clinical provider in Shakopee, Minnesota, licensed in Minnesota (LP6125) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1336673847

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STEPHANIE STACY SMITHCredential: PSY.D.,LP

Location Address200 4TH AVE W, GOVERNMENT CENTER, RM 300Shakopee, MN 55379-1220

Mailing Address200 4th Ave W, Government Center, Rm 300Shakopee, MN 55379-1220 · (952) 496-8614 · Fax (952) 496-8355

Phone(952) 496-8614

Fax(952) 496-8355

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 12, 2017

✔ NPI 1336673847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP6125

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

200 4TH AVE W, Shakopee, MN 55379

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Stacy Smith Psy.d.,lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618253873

PECOS Enrollment IDI20170425000235

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MELISSA SCHMITT

Counselor (Mental Health)

200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379

Scott County (952) 496-8476

MICHELLE LANAK

Marriage & Family Therapist

200 4TH AVE W
SHAKOPEE, MN 55379

Scott County (952) 496-8481

JAN DANIELS KRISTENSON LSW

Social Worker

200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379

Scott County (952) 496-8504

MS. KIM HARMON MSW, LICSW

Social Worker (Clinical)

200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379

Scott County (952) 496-8155

DEBORAH A BATTLES MA, LP

Psychologist

200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379

Scott County (952) 496-8396

FAITH NYAENYA

Nurse Practitioner (Psychiatric/Mental Health)

200 4TH AVE W
SHAKOPEE, MN 55379

Scott County (952) 496-8314

WENDY LYNN ZIERMAN RN

Registered Nurse (Psychiatric/Mental Health)

200 4TH AVE W, GOVERNMENT CENTER RM 300
SHAKOPEE, MN 55379

Scott County (952) 496-8565

PIPER K RIES LPCC

Counselor (Professional)

200 4TH AVE W
SHAKOPEE, MN 55379

Scott County (507) 995-4782

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 Stephanie Smith's NPI number?

The NPI number for Stephanie Smith is 1336673847. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Stephanie Smith located?

Stephanie Smith practices at 200 4th Ave W Government Center, Rm 300, Shakopee, MN 55379. The listed phone number is (952) 496-8614.

What is Stephanie Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stephanie Smith enrolled in Medicare?

Yes. Stephanie Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Smith was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.