STEPHANIE CAROLYN GULLICKSON
NPI 1689143380
Counselor - Mental Health in Bloomington, MN

Active since November 26, 2018
8200 HUMBOLDT AVE S STE 306, BLOOMINGTON, MN 55431(952) 236-7891(952) 426-4935 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Carolyn Gullickson NPPES

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

STEPHANIE CAROLYN GULLICKSON (NPI 1689143380) is an individual mental health provider in Bloomington, Minnesota and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1689143380
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE CAROLYN GULLICKSON
Location Address8200 HUMBOLDT AVE S STE 306Bloomington, MN 55431-1453
Mailing Address8200 Humboldt Ave S Ste 306Bloomington, MN 55431-1453 · (952) 236-7891 · Fax (952) 426-4935
Fax(952) 426-4935
Sole ProprietorYes
Enumeration DateNovember 26, 2018
NPI 1689143380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8200 HUMBOLDT AVE S STE 306, Bloomington, MN 55431

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

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431
Behavior Technician
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431
Behavior Technician
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431
Counselor (Mental Health)
8200 HUMBOLDT AVE S STE 306
BLOOMINGTON, MN 55431

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 Stephanie Gullickson's NPI number?

The NPI number for Stephanie Gullickson is 1689143380. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Stephanie Gullickson located?

Stephanie Gullickson practices at 8200 Humboldt Ave S Ste 306, Bloomington, MN 55431. The listed phone number is (952) 236-7891.

What is Stephanie Gullickson'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 Stephanie Gullickson was last updated on November 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.