KENNETH L. STAPLETON LP
NPI 1598742140
Psychologist in Grand Rapids, MN

Active since December 26, 2005PECOS EnrolledAccepts Medicare Assignment
423 NE 4TH ST STE 2, GRAND RAPIDS, MN 55744(218) 326-5694(218) 326-5313 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth L. Stapleton Lp NPPES

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

KENNETH L. STAPLETON LP (NPI 1598742140) is an individual psychologist in Grand Rapids, Minnesota, licensed in Minnesota (LP3021) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1598742140
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKENNETH L. STAPLETONCredential: LP
Location Address423 NE 4TH ST STE 2Grand Rapids, MN 55744-2968
Mailing AddressPo Box 771Grand Rapids, MN 55744-0771 · (218) 326-5694 · Fax (218) 326-5313
Fax(218) 326-5313
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateDecember 26, 2005
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
NPI 1598742140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3021
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
423 NE 4TH ST STE 2, Grand Rapids, MN 55744

Other Identifiers 2

Medicaid796713600MN
Other1104205319MN · Npi2

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

Kenneth L. Stapleton 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 ID1153802178
PECOS Enrollment IDI20260226003238
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

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

Psychologist
423 NE 4TH ST STE 2
GRAND RAPIDS, MN 55744

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 Kenneth Stapleton's NPI number?

The NPI number for Kenneth Stapleton is 1598742140. It was assigned to this individual provider in the NPPES registry on December 26, 2005.

Where is Kenneth Stapleton located?

Kenneth Stapleton practices at 423 NE 4th St Ste 2, Grand Rapids, MN 55744. The listed phone number is (218) 326-5694.

What is Kenneth Stapleton's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kenneth Stapleton enrolled in Medicare?

Yes. Kenneth Stapleton 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 Kenneth Stapleton accept?

Health plans from HealthPartners list Kenneth Stapleton 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 Kenneth Stapleton was last updated on December 5, 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.