Healthcare Provider Details

I. General information

NPI: 1134054604
Provider Name (Legal Business Name): KATRINA ROSEMARIE BELL STEWART MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 PROFESSIONAL DR
NORTHFIELD MN
55057-2756
US

IV. Provider business mailing address

20458 IBERIA AVE
LAKEVILLE MN
55044-8651
US

V. Phone/Fax

Practice location:
  • Phone: 507-301-3412
  • Fax:
Mailing address:
  • Phone: 218-838-4566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5677
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: