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DR. STEPHANIE LYNNE SHIVELY PH.D., M.A.
NPI 1932936283
Counselor - Mental Health in Minnetonka, MN

Active since September 18, 2024
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343(952) 999-6097(952) 426-0508 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie Lynne Shively Ph.d., M.a. NPPES

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

DR. STEPHANIE LYNNE SHIVELY PH.D., M.A. (NPI 1932936283) is an individual mental health provider in Minnetonka, Minnesota and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1932936283
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. STEPHANIE LYNNE SHIVELYCredential: PH.D., M.A.
Location Address12301 WHITEWATER DR STE 101Minnetonka, MN 55343-4157
Mailing Address15301 Crown DrMinnetonka, MN 55345-3612
Phone(952) 999-6097
Fax(952) 426-0508
Sole ProprietorNo
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1932936283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12301 WHITEWATER DR STE 101, Minnetonka, MN 55343
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Other Names 1

Other Name (5)Dr. Stevi Shively Ph.d., M.a.

Other Providers at the Same Location NPPES 18

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

MS. LAURA ANN JAAP M.A., L.P.
Psychologist (Counseling)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
AMANDA DREWEK PA
Physician Assistant
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
MRS. MARGARET MARY CZERNIA MS, LPCC
Counselor (Mental Health)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
DR. JENNIFER ELIZABETH DUCHSCHERE PHD, LP
Psychologist
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (651) 321-8515
MICHAELA MARIE BUCCHIANERI PH.D, LP
Psychologist (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
REBECA EMILY GENDLER
Counselor (Mental Health)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097
CASSIE BILLUPS MA
Marriage & Family Therapist
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (920) 660-0852
KELLY NICOLE GADOLA LICSW
Social Worker (Clinical)
12301 WHITEWATER DR STE 101
MINNETONKA, MN 55343
Hennepin County (952) 999-6097

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 Shively's NPI number?

The NPI number for Stephanie Shively is 1932936283. It was assigned to this individual provider in the NPPES registry on September 18, 2024. The provider is also known as Dr. Stevi Shively Ph.D., M.A..

Where is Stephanie Shively located?

Stephanie Shively practices at 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343. The listed phone number is (952) 999-6097.

What is Stephanie Shively's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stephanie Shively was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.