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JULIANN FAE STARK
NPI 1740980408
Counselor - Professional in Woodbury, MN

Active since March 09, 2023PECOS EnrolledAccepts Medicare Assignment
1811 WEIR DR STE 270, WOODBURY, MN 55125(651) 714-9646(651) 714-9647 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Mar 9, 2023 (2 updates tracked since 2023).

About Juliann Fae Stark NPPES

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

JULIANN FAE STARK (NPI 1740980408) is an individual professional provider in Woodbury, Minnesota, licensed in Minnesota (5171) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740980408
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJULIANN FAE STARK
Location Address1811 WEIR DR STE 270Woodbury, MN 55125-6741
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 714-9646
Fax(651) 714-9647
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 9, 2023
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1740980408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5171
1811 WEIR DR STE 270, Woodbury, MN 55125
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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

Juliann Fae Stark 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 ID3678064896
PECOS Enrollment IDI20251117000831
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 20

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

JILL JOHNSON LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
JENN LINDQUIST LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PAIGE WARE
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 243-6087
ROBIN ZIMMERMANN LADC
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 398-6090
BELLA A KRASKA MARTIN
Counselor (Mental Health)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
ERIN SETALA LPCC
Counselor (Professional)
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
PALMER VANBEEST LMFT
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646
NICOLE E BRINGGOLD
Marriage & Family Therapist
1811 WEIR DR STE 270
WOODBURY, MN 55125
Washington County (651) 714-9646

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 Juliann Stark's NPI number?

The NPI number for Juliann Stark is 1740980408. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Juliann Stark located?

Juliann Stark practices at 1811 Weir Dr Ste 270, Woodbury, MN 55125. The listed phone number is (651) 714-9646.

What is Juliann Stark's specialty?

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

Is Juliann Stark enrolled in Medicare?

Yes. Juliann Stark 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.

When was this NPI record last updated?

The NPPES record for Juliann Stark was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.