Stacy Louise Gustafson, LPCC - Counselor in Pine River, MN

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Stacy Louise Gustafson, LPCC is a Counselor - Mental Health based in Pine River, Minnesota. Stacy Louise Gustafson is licensed to practice in Minnesota (license number CC1066) and her current practice location is 980 1st St N, Pine River, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 587-8036.

NPI number for Stacy Louise Gustafson is 1457723769 and her current mailing address is 14639 Whitebirch Ln, Po Box 625, Crosslake, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457723769.

Contact Information

Stacy Louise Gustafson, LPCC
980 1st St N,
Pine River, MN 56474-4508
(218) 587-8036
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameStacy Louise Gustafson
GenderFemale
SpecialityCounselor - Mental Health
Location980 1st St N, Pine River, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457723769
  • Provider Enumeration Date: 10/26/2015
  • Last Update Date: 10/26/2015

Medical Identifiers

Medical identifiers for Stacy Louise Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457723769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health CC1066 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Louise Gustafson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Louise Gustafson, LPCC
14639 Whitebirch Ln, Po Box 625,
Crosslake, MN 56442-3074

Ph: (218) 821-5064		Stacy Louise Gustafson, LPCC
980 1st St N,
Pine River, MN 56474-4508

Ph: (218) 587-8036

Reviews and Comments


Counselor in Pine River, MN

Richard Paul Grundtner, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 306 Barclay Ave, Pine River, MN 56474
Phone: 218-838-7765    
Sarah Hendrickson, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 245 Barclay Ave, Unit 101, Pine River, MN 56474
Phone: 218-232-8433    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.