Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Carol Smith Kellen

Individual provider Mental Health Counselor · NPI 1801366992

Dr. Stephanie Carol Smith Kellen is a Clinical Psychologist in Wausau, Wisconsin. Qualified in 2021, 5 years ago. Practices with Behavioral Health Clinic LLC, a 44-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Nebraska, Oklahoma and Wisconsin.

Years since qualifying
5
Licensed in
NE, OK, WI
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

630 S 36th Ave
Wausau, WI 54401-3930
Phone: (855) 607-8242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 Commerce Dr Ste 260, Woodbury, MN 55125-9243 — (651) 413-9121
  • 444 S 44th St, Omaha, NE 68131-3727 — (402) 559-6408

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4155-57 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 12262 (NE)
Behavior Analyst Taxonomy 103K00000X · Licence RBT-18-65709 (OK)
School Psychologist Taxonomy 103TS0200X

Record details

NPI number1801366992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2018
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address630 S 36th Ave, Wausau, WI 54401-3930

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Behavioral Health Clinic Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wausau