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STACEY CLARE HOSTETTER
NPI 1861257685
Psychologist - Clinical in Coon Rapids, MN

Active since February 20, 2024
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433(763) 767-3350 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Clare Hostetter NPPES

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

STACEY CLARE HOSTETTER (NPI 1861257685) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (NA) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1861257685
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTACEY CLARE HOSTETTER
Location Address11660 ROUND LAKE BLVD NWCoon Rapids, MN 55433-2638
Mailing Address1818 243rd Ave NwSaint Francis, MN 55070-8777 · (763) 232-6587
Phone(763) 767-3350
Sole ProprietorNo
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1861257685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · NA
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433
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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.

RUTH EILTS
Social Worker (Clinical)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MELANIE CARLSON-KAPPES MA, LMFT
Marriage & Family Therapist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CHARLES LOCHNER MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MIRANDA K LUTTERMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CALSI GILBERTSON
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CATHERINE JANE LUITJENS LP
Psychologist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
AUGUSTUS KJOLHAUG MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MR. STEPHEN PAUL MONTRY LADC
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350

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 Stacey Hostetter's NPI number?

The NPI number for Stacey Hostetter is 1861257685. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Stacey Hostetter located?

Stacey Hostetter practices at 11660 Round Lake Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.

What is Stacey Hostetter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stacey Hostetter was last updated on February 20, 2024. 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.