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Active NPI 1104070952 Individual Practitioner Female Practitioner

Stephanie P Pedersen , LP

Psychologist • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Stephanie Pedersen, LP is a registered healthcare professional specializing in Psychologist in Minnetonka, MN. Practice services are available at 5125 COUNTY ROAD 101, SUITE 300 under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5125 County Road 101, Suite 300
Relate, Inc.

Minnetonka, MN 55345

Telephone 9529327277
Fax 9529329827
Associated Practice Facility / Clinic
🏢 Relate Inc Facility NPI 1053486902

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Minnetonka, MN (1833 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
169 13 $130.00 $91.73

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP 4964

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Practice Locations

15320 Minnetonka Blvd, #200

Minnetonka, MN 55345

Phone: 9529327277

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alexander Fellerman

Counselor - Professional

NPI 1033007943
Jamie Rohwer , LPCC

Counselor - Professional

NPI 1043864838

Licensed Professional Clinical Counselor

Madelyn Larsin , LISCW

Social Worker - Clinical

NPI 1063284974
Andrew Jacobson

Counselor - Professional

NPI 1083367577
NPI 1093023889

LICENSEDPSYCHOLOGIS

Margot Marsh , LICSW

Social Worker - Clinical

NPI 1093475923

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2017

Registered at 5125 COUNTY ROAD 101, SUITE 300, RELATE, INC., MINNETONKA, MN 55345 (Tel: 9529327277)

📍
Updated Business Mailing Address November 20, 2017

Registered at 5125 COUNTY ROAD 101, SUITE 300, RELATE, INC., MINNETONKA, MN 55345 (Tel: 9529327277)

👤
Provider Name / Credentials Updated November 20, 2017

Recorded as STEPHANIE PEDERSEN, L.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Psychologist (License #LP 4964 in MN)

NPI Profile Active November 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2008

Registered at 15320 MINNETONKA BLVD, #200, MINNETONKA, MN 55345 (Tel: 9529327277)

📍
Updated Business Mailing Address November 06, 2008

Registered at 15320 MINNETONKA BLVD, #200 RELATE INC, MINNETONKA, MN 55345 (Tel: 9529327277)

👤
Provider Name / Credentials Updated November 06, 2008

Recorded as STEPHANIE PEDERSEN, L.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2008

Psychologist (License #LP 4964 in MN)

🟢
Initial NPI Registration & Enumeration November 06, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104070952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2008
Last Update: November 20, 2017
Sole Proprietor: No

Mailing Address

5125 County Road 101, Suite 300, Relate, Inc.

Minnetonka, MN 55345

Phone: 9529327277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.