STACEY LYNN TWEEDT LADC
NPI 1558874768
Counselor - Professional in Jackson, MN

Active since November 09, 2017
1119 GRANT ST, JACKSON, MN 56143(507) 407-2177(507) 540-1135 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2024, Nov 9, 2017 (2 updates tracked since 2017).

About Stacey Lynn Tweedt Ladc NPPES

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

STACEY LYNN TWEEDT LADC (NPI 1558874768) is an individual professional provider in Jackson, Minnesota, licensed in Minnesota (4087) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1558874768
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY LYNN TWEEDTCredential: LADC
Location Address1119 GRANT STJackson, MN 56143-1207
Mailing Address1119 Grant StJackson, MN 56143-1207 · (507) 841-2574
Fax(507) 540-1135
Sole ProprietorYes
Enumeration DateNovember 9, 2017
Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1558874768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 4087
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302628 (MN)
1119 GRANT ST, Jackson, MN 56143

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 (Professional)
1119 GRANT ST
JACKSON, MN 56143

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 Stacey Tweedt's NPI number?

The NPI number for Stacey Tweedt is 1558874768. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Stacey Tweedt located?

Stacey Tweedt practices at 1119 Grant St, Jackson, MN 56143. The listed phone number is (507) 407-2177.

What is Stacey Tweedt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Stacey Tweedt accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Sanford Health Plan list Stacey Tweedt 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 Stacey Tweedt was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.