DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT) – Psychologist, NPI 1033596879

DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT) is a healthcare provider. based in Rosemount, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, LP, LAMFT. They hold a License No. LP6856 (MN). The NPI Number for DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT) is 1033596879

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT)
NPI
1033596879
Phone
(952) 443-4600
Address
2930 146TH ST W
Enumeration Date
30 April 2015
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524434600
Graduation Year
2021 (5 years ago)
PAC ID
6002280609
Group Practice PAC ID
7810282845
Professional Enrollment ID
I20230322001785
Address ID
MN553867720VI1772XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT)

  • 2930 146TH ST W

    SUITE 114

    ROSEMOUNT, MN 550683189

    Phone: (952) 443-4600

    Fax: (651) 322-4603

    Type: Mailing

  • 2626 E 82ND ST STE 225B

    BLOOMINGTON, MN 554251301

    Phone: (612) 812-0992

    Type: Location

  • 1318 POWDERHORN TER APT 111

    MINNEAPOLIS, MN 554071649

    Phone: (612) 812-0992

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230322001785IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55068)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810282845View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT)?
Save NPI 1033596879 if you need a stable reference for DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT).
Is DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT) currently active in the NPI registry?
CMS-published data lists DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT) as an active registrant.
What kind of provider is DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT)?
The page reflects Psychologist for DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT). Clinical services aligned with this taxonomy classification.
Where is DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT)'s primary listing?
We display Rosemount, Minnesota because that is what the record indicates for DR. KIMBERLY DAWN STEWART (PHD, LP, LAMFT).
What if Rosemount, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

1772 STIEGER LAKE LN STE 220
NPI: 1629188263
1926 ROSE WAY
NPI: 1750700027
200 1ST ST SW
NPI: 1992109037

HAYLEY ELIZABETH KNAPP (PSYD)

Clinical Psychologist
429 S 7th St Apt 1
NPI: 1205358868

ADAM SATTLER (PH.D, LP)

Community/Behavioral Health Agency
PO BOX 51
NPI: 1023532884