CHANGING STRIDES THERAPY LLC
NPI 1487001400
Counselor - Mental Health in Pequot Lakes, MN

NPI Status: Active since May 19, 2016

Contact Information

10010 STRAWBERRY LAKE RD
PEQUOT LAKES, MN
ZIP 56472
Phone: (218) 833-7636
Fax: (218) 543-4394

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  • Organization
  • Counselor
  • Mental Health
  • Accepts Insurance

About CHANGING STRIDES THERAPY LLC

This page provides the complete NPI Profile along with additional information for Changing Strides Therapy Llc, a provider established in Pequot Lakes, Minnesota operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1487001400 assigned on May 2016. The practitioner's primary taxonomy code is 101YM0800X with license number CC01066 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Stacy Louise Gustafson Lpcc (Counselor)

NPI
1487001400
Provider Name
CHANGING STRIDES THERAPY LLC
Entity Type
Organization
Location Address
10010 STRAWBERRY LAKE RD PEQUOT LAKES, MN 56472
Location Phone
(218) 833-7636
Location Fax
(218) 543-4394
Mailing Address
PO BOX 625 CROSSLAKE, MN 56442
Mailing Phone
(218) 833-7636
Mailing Fax
(218) 543-4394
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2016
Last Update Date
12-04-2024
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A mental health counselor like Changing Strides Therapy Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
CC01066
License State
MN

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACY LOUISE GUSTAFSON LPCC

Authorized Official Title
COUNSELOR
Authorized Official Phone
(218) 833-7636

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487001400
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416700240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 0 + 2 + 4 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1487001400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508207044MRS. DEBORAH A RUDNINGEN LPC, LADC
Individual
Counselor (Mental Health)10010 STRAWBERRY LAKE RD
PEQUOT LAKES, MN 56472
(218) 833-7636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487001400, enumerated in the NPI registry as an "organization" on May 19, 2016

The provider is located at 10010 Strawberry Lake Rd Pequot Lakes, Mn 56472 and the phone number is (218) 833-7636

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 19, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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