DR. STEPHANIE CAROL SMITH KELLEN
NPI 1801366992
Psychologist in Wausau, WI

Active since November 30, 2018PECOS EnrolledAccepts Medicare Assignment
630 S 36TH AVE, WAUSAU, WI 54401(855) 607-8242 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Jun 29, 2021, Nov 5, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Stephanie Carol Smith Kellen NPPES

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

DR. STEPHANIE CAROL SMITH KELLEN (NPI 1801366992) is an individual psychologist in Wausau, Wisconsin, licensed in Wisconsin (4155-57) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801366992
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHANIE CAROL SMITH KELLEN
Location Address630 S 36TH AVEWausau, WI 54401-3930
Mailing Address630 S 36th AveWausau, WI 54401-3930 · (855) 607-8242
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 30, 2018
Last NPPES UpdateOctober 13, 20234 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1801366992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 4155-57
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 12262 (NE)
Also ListedBehavior AnalystTaxonomy 103K00000X · License RBT-18-65709 (OK)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
630 S 36TH AVE, Wausau, WI 54401

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

Dr. Stephanie Carol Smith Kellen 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 ID8426414822
PECOS Enrollment IDI20230509002020
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.

Marriage & Family Therapist
630 S 36TH AVE
WAUSAU, WI 54401
Speech-Language Pathologist
630 S 36TH AVE
WAUSAU, WI 54401
Counselor (Addiction (Substance Use Disorder))
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401
Social Worker (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401

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 Smith Kellen's NPI number?

The NPI number for Stephanie Smith Kellen is 1801366992. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Stephanie Smith Kellen located?

Stephanie Smith Kellen practices at 630 S 36th Ave, Wausau, WI 54401. The listed phone number is (855) 607-8242.

What is Stephanie Smith Kellen's specialty?

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

Is Stephanie Smith Kellen enrolled in Medicare?

Yes. Stephanie Smith Kellen 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 Stephanie Smith Kellen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz and 2 other insurers list Stephanie Smith Kellen 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 Stephanie Smith Kellen was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.