STEPHANIE ANNE BRACE MA, LMFT - NPI 1902059751 - Marriage & Family Therapist in St Louis Park, MN

Q: What is Stephanie Brace's NPI number?

The NPI number for Stephanie Brace is 1902059751. It was assigned to this individual provider in the NPPES registry on October 24, 2008. The provider is also known as Stephanie Anne Fields.

Q: What is Stephanie Brace's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Brace was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stephanie Anne Brace Ma, Lmft NPPES

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

STEPHANIE ANNE BRACE MA, LMFT (NPI 1902059751) is an individual marriage & family therapist in St Louis Park, Minnesota, licensed in Minnesota (1454) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1902059751

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSTEPHANIE ANNE BRACECredential: MA, LMFT

Location Address1155 FORD RD STE BSt Louis Park, MN 55426-1115

Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496

Phone(952) 378-1800

Fax(952) 378-1714

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 24, 2008

Last NPPES UpdateJuly 27, 2023

NPPES CertifiedJuly 26, 2023

✔ NPI 1902059751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 1454

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1155 FORD RD STE B, St Louis Park, MN 55426

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Other Names 1

Former Name (1)Stephanie Anne Fields

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Stephanie Anne Brace Ma, Lmft 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 ID840635975

PECOS Enrollment IDI20240228004394

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 12

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

KATHLEEN MEREDITH HOLDEN MSN, PMHNP-BC, ARNP

Nurse Practitioner (Psychiatric/Mental Health)