CHANGING STRIDES THERAPY LLC
NPI 1487001400
Counselor - Mental Health in Pequot Lakes, MN

Active since May 19, 2016
10010 STRAWBERRY LAKE RD, PEQUOT LAKES, MN 56472(218) 833-7636(218) 543-4394 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2024, Aug 6, 2020, May 19, 2016 (3 updates tracked since 2016).

About Changing Strides Therapy Llc NPPES

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

CHANGING STRIDES THERAPY LLC (NPI 1487001400) is a healthcare organization registered as a mental health in Pequot Lakes, Minnesota and active in the NPI registry since May 2016. The organization lists Stacy Louise Gustafson, Counselor, as its authorized official.

NPPES Registry Identity

NPI1487001400
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHANGING STRIDES THERAPY LLC
Location Address10010 STRAWBERRY LAKE RDPequot Lakes, MN 56472-2291
Mailing AddressPo Box 625Crosslake, MN 56442-0625 · (218) 833-7636 · Fax (218) 543-4394
Fax(218) 543-4394
Organization SubpartNo
Authorized OfficialStacy Louise GustafsonCounselor · (218) 833-7636
Enumeration DateMay 19, 2016
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1487001400 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 · CC01066
10010 STRAWBERRY LAKE RD, Pequot Lakes, MN 56472

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
10010 STRAWBERRY LAKE RD
PEQUOT LAKES, MN 56472

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 Changing Strides Therapy LLC's NPI number?

The NPI number for Changing Strides Therapy LLC is 1487001400. It was assigned to this organization in the NPPES registry on May 19, 2016.

Where is Changing Strides Therapy LLC located?

Changing Strides Therapy LLC is located at 10010 Strawberry Lake Rd, Pequot Lakes, MN 56472. The listed phone number is (218) 833-7636.

What is Changing Strides Therapy LLC's specialty?

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

What insurance does Changing Strides Therapy LLC accept?

Health plans from HealthPartners list Changing Strides Therapy LLC 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 Changing Strides Therapy LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.