SHANNON KAY STANTON PSYD, LP
NPI 1902315096
Psychologist - Clinical in West Saint Paul, MN

Q: What is Shannon Stanton's NPI number?

The NPI number for Shannon Stanton is 1902315096. It was assigned to this individual provider in the NPPES registry on September 21, 2017. The provider is also known as Shannon Kay Juedes Psyd, LP.

Q: What is Shannon Stanton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Stanton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment

149 THOMPSON AVE E STE 150, WEST SAINT PAUL, MN 55118(651) 450-0860(651) 450-0759 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 21, 2017 (3 updates tracked since 2017).

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About Shannon Kay Stanton Psyd, Lp NPPES

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

SHANNON KAY STANTON PSYD, LP (NPI 1902315096) is an individual clinical provider in West Saint Paul, Minnesota, licensed in Minnesota (LP6134) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902315096

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHANNON KAY STANTONCredential: PSYD, LP

Location Address149 THOMPSON AVE E STE 150West Saint Paul, MN 55118-3238

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

Phone(651) 450-0860

Fax(651) 450-0759

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 21, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedMarch 22, 2022

✔ NPI 1902315096 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 · LP6134

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.

149 THOMPSON AVE E STE 150, West Saint Paul, MN 55118

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Other Names 1

Former Name (1)Shannon Kay Juedes Psyd, Lp

Secondary Practice Location 1

Location 14027 County Road 25Minneapolis, MN 55416-2629 · Phone (612) 925-6033 · Fax (612) 925-8496

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Kay Stanton Psyd, Lp 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 ID1456627793

PECOS Enrollment IDI20171101000080

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Stanton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Associated Clinic Of Psychology Inc

13 mi

Mental Health (Including Community Mental Health Center)

4027 COUNTY ROAD 25
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
148 clinicians in this Medicare group

NPI 1588741292 (612) 925-6033

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. REBECCA LYNN SCHEMA PSY.D., LPCC

Counselor (Professional)