IndividualActive
Stacy Gustafson, LPCC
NPI 1457723769 · Mental Health Counselor · Pine River, MN
Provider details
- NPI number
- 1457723769
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- CC1066 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
980 1st St N
Pine River, MN 56474-4508
Phone: (218) 587-8036
Street-level locationGet directions
Mailing address
14639 Whitebirch Ln
Crosslake, MN 56442-3074
Registry dates
- Enumerated
- 2015-10-26
- Last updated
- 2015-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.