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STACY LOUISE GUSTAFSON LPCC
NPI 1457723769
Counselor - Mental Health in Pine River, MN

Active since October 26, 2015
980 1ST ST N, PINE RIVER, MN 56474(218) 587-8036 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Louise Gustafson Lpcc NPPES

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

STACY LOUISE GUSTAFSON LPCC (NPI 1457723769) is an individual mental health provider in Pine River, Minnesota, licensed in Minnesota (CC1066) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1457723769
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY LOUISE GUSTAFSONCredential: LPCC
Location Address980 1ST ST NPine River, MN 56474-4508
Mailing Address14639 Whitebirch Ln, Po Box 625Crosslake, MN 56442-3074 · (218) 821-5064
Phone(218) 587-8036
Sole ProprietorYes
Enumeration DateOctober 26, 2015
✔ NPI 1457723769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC1066
980 1ST ST N, Pine River, MN 56474
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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 Stacy Gustafson's NPI number?

The NPI number for Stacy Gustafson is 1457723769. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Where is Stacy Gustafson located?

Stacy Gustafson practices at 980 1st St N, Pine River, MN 56474. The listed phone number is (218) 587-8036.

What is Stacy Gustafson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacy Gustafson was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.