DR. STACIE L DARKE PHD, LP
NPI 1952551731
Psychologist - Clinical in St Louis Park, MN

Q: What is Stacie Darke's NPI number?

The NPI number for Stacie Darke is 1952551731. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Q: What is Stacie Darke'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 Stacie Darke was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 29, 2008PECOS Enrolled

1155 FORD RD STE B, ST LOUIS PARK, MN 55426(952) 378-1800(952) 378-1714 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2021, May 24, 2021, May 5, 2020 (3 updates tracked since 2020).

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About Dr. Stacie L Darke Phd, Lp NPPES

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

DR. STACIE L DARKE PHD, LP (NPI 1952551731) is an individual clinical provider in St Louis Park, Minnesota, licensed in Minnesota (6512) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952551731

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STACIE L DARKECredential: PHD, LP

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

Enumeration DateSeptember 29, 2008

Last NPPES UpdateJune 7, 20213 updates tracked since enumeration

NPPES CertifiedJune 7, 2021

✔ NPI 1952551731 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 · 6512

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.

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

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Secondary Practice Locations 2

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

Location 26200 Shingle Creek Pkwy Ste 350Brooklyn Center, MN 55430-2155 · Phone (763) 503-8560 · Fax (763) 503-8563

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 (PECOS)

Dr. Stacie L Darke Phd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Stacie Darke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Clinic Of Psychology Inc

4.1 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

Nystrom & Associates, Ltd

12 mi

Clinical

1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112

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

NPI 1396750188 (651) 628-9566

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 55426 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 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)