Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801366992 Individual Practitioner Female Practitioner

Stephanie Carol Smith Kellen

Psychologist • Wausau, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Stephanie Smith Kellen is a certified Psychologist practicing in Wausau, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Stephanie Smith Kellen delivers high-quality medical care to the local community at 630 S 36TH AVE.

Stephanie Smith Kellen is affiliated with Behavioral Health Clinic Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

630 S 36th Ave

Wausau, WI 544013930

Telephone 8556078242
Associated Practice Facility / Clinic
🏢 Behavioral Health Clinic, Llc Facility NPI 1831442359

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Wausau, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -9.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
17 Specialists

Practicing in Wausau, WI (1000 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith Kellen (5 Years) 5 Yrs
Wausau Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-10-13
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 4155-57

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License NE 12262

Definition to come...

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License OK RBT-18-65709

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Psychologist - School

NUCC Taxonomy Code: 103TS0200X

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Hospital & Practice Group Affiliations

Behavioral Health Clinic Llc

630 S 36th Ave, Wausau, WI 544013930

Phone: 7158429500

Secondary Practice Locations

700 Commerce Dr Ste 260

Woodbury, MN 551259243

Phone: 6514139121

444 S 44th St

Omaha, NE 681313727

Phone: 4025596408

Practice Associates & Co-Workers

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

36 Associated Practitioners
Katie Brueggen , MS, LMFT

Marriage & Family Therapist

NPI 1013285006

Master of Science, Licensed Marriage and Family Therapist

Evelyn Bragg , PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013432475

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Certified)

Tania Alarcon , MA

Counselor - Mental Health

NPI 1033970330

Master of Arts

Abigail Anderson

Counselor - Professional

NPI 1043178791
Dr. Lauren Knuckey , PhD

Psychologist - Clinical

NPI 1043903511

Doctor of Philosophy (Ph.D.)

Lauren Watters , MS CCC-SLP

Speech-Language Pathologist

NPI 1053045484

MSCCCSLP

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location October 13, 2023

Registered at 630 S 36TH AVE, WAUSAU, WI 544013930 (Tel: 8556078242)

📍
Updated Business Mailing Address October 13, 2023

Registered at 630 S 36TH AVE, WAUSAU, WI 544013930 (Tel: 8556078242)

📍
Updated Practice Location June 29, 2021

Registered at 700 COMMERCE DR STE 260, WOODBURY, MN 551259243 (Tel: 6514139121)

📍
Updated Business Mailing Address June 29, 2021

Registered at 700 COMMERCE DR STE 260, WOODBURY, MN 551259243 (Tel: 6514139121)

📍
Updated Practice Location November 05, 2020

Registered at 444 S 44TH ST, OMAHA, NE 681313727 (Tel: 4025596408)

📍
Updated Business Mailing Address November 05, 2020

Registered at 985450 NEBRASKA MEDICAL CTR, OMAHA, NE 681985450 (Tel: 4025596408)

👤
Provider Name / Credentials Updated November 05, 2020

Recorded as STEPHANIE SMITH KELLEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2020

Counselor (License #12262 in NE)

NPI Profile Active November 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2018

Registered at 1212 S AIR DEPOT BLVD STE 17, MIDWEST CITY, OK 731104860 (Tel: 4054556868)

📍
Updated Business Mailing Address November 30, 2018

Registered at 1212 S AIR DEPOT BLVD STE 17, MIDWEST CITY, OK 731104860 (Tel: 4054556868)

👤
Provider Name / Credentials Updated November 30, 2018

Recorded as STEPHANIE SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Behavior Analyst (License #RBT-18-65709 in OK)

🟢
Initial NPI Registration & Enumeration November 30, 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: 1801366992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2018
Last Update: October 13, 2023
Sole Proprietor: No

Mailing Address

630 S 36th Ave

Wausau, WI 544013930

Phone: 8556078242

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.