Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary J Stadler, MA, LPCC, LADC

Individual provider Professional Counselor · NPI 1457030009

Mary J Stadler, MA, LPCC, LADC is a Mental Health Counselor in Minneapolis, Minnesota. Qualified in 2020, 6 years ago. Practices with Minnesota Teen Challenge, Inc, a 22-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1619 Portland Ave
Minneapolis, MN 55404-1507
Phone: (612) 238-6536
Fax: (612) 333-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 740 E 24th St, Minneapolis, MN 55404-3862 — (612) 238-6536
  • 3111 1st Ave S, Minneapolis, MN 55408-3136 — (612) 238-6536

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC03934 (MN)

Record details

NPI number1457030009
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC , LADC
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Minnesota Teen Challenge, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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