STACY NATHAN
NPI 1679369938
Counselor - Mental Health in Rockford, MN

Active since April 15, 2025
8060 HWY 55 STE 100, ROCKFORD, MN 55373(612) 597-0675 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Nathan NPPES

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

STACY NATHAN (NPI 1679369938) is an individual mental health provider in Rockford, Minnesota and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679369938
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACY NATHAN
Location Address8060 HWY 55 STE 100Rockford, MN 55373-9407
Mailing Address10755 93rd Ave NMaple Grove, MN 55369-4109 · (612) 597-0675
Sole ProprietorYes
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1679369938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8060 HWY 55 STE 100, Rockford, MN 55373

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
8060 HWY 55 STE 100
ROCKFORD, MN 55373
Counselor (Professional)
8060 HWY 55 STE 100
ROCKFORD, MN 55373

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 Nathan's NPI number?

The NPI number for Stacy Nathan is 1679369938. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Stacy Nathan located?

Stacy Nathan practices at 8060 Hwy 55 Ste 100, Rockford, MN 55373. The listed phone number is (612) 597-0675.

What is Stacy Nathan'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 Nathan was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.