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Active NPI 1245716703 Individual Practitioner Male Practitioner

Dr. Evan Stanforth , PhD, LP

Psychologist - Counseling • Woodbury, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Evan Stanforth, PhD, LP is a certified Psychologist - Counseling practicing in Woodbury, MN. With approximately 7 years of clinical experience since completing medical education in 2019, Dr. Stanforth delivers high-quality medical care to the local community at 1811 WEIR DR STE 270.

Dr. Stanforth is affiliated with Nystrom And Associates Ltd and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1811 Weir Dr Ste 270

Woodbury, MN 551256741

Telephone 6517149646
Associated Practice Facility / Clinic
🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Woodbury, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +0.5 yrs vs City Avg
City Avg: 6.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Woodbury, MN (419 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stanforth (7 Years) 7 Yrs
Woodbury Specialty Average (6.5 Years) 6.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-30
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License MN LP6669

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Hospital & Practice Group Affiliations

Nystrom And Associates Ltd

1811 Weir Dr, Woodbury, MN 551256741

Phone: 6517149646651714

Practice Associates & Co-Workers

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

40 Associated Practitioners
Stephanie Odegard , MA

Counselor - Mental Health

NPI 1003268293

Master of Arts

Warren Lemay , MS, MA, LPCC

Counselor - Professional

NPI 1023406550

Master of Science, Master of Arts, Licensed Professional Clinical Counselor

Jill Johnson , LMFT

Marriage & Family Therapist

NPI 1043624422

Licensed Marriage and Family Therapist

Jenn Lindquist , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1043973969

Licensed Alcohol and Drug Counselor

Bella Kraska Martin

Counselor - Mental Health

NPI 1073276911
Joel Schirvar , PYSD LP

Psychologist - Clinical

NPI 1073593620

PYSDLP

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated April 30, 2021

Recorded as EVAN STANFORTH, PH.D., LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2021

Psychologist (License #LP6669 in MN)

NPI Profile Active July 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2018

Registered at 1811 WEIR DR STE 270, WOODBURY, MN 551256741 (Tel: 6517149646)

📍
Updated Business Mailing Address July 17, 2018

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789

👤
Provider Name / Credentials Updated July 17, 2018

Recorded as EVAN STANFORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2018

Counselor

🟢
Initial NPI Registration & Enumeration July 17, 2018

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: 1245716703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2018
Last Update: April 30, 2021
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

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.