KRISS REGAN SJOSTROM LPCC
NPI 1164088589
Counselor - Professional in Eden Prairie, MN

Q: What is Kriss Sjostrom's NPI number?

The NPI number for Kriss Sjostrom is 1164088589. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Kriss Sjostrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kriss Sjostrom was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2019PECOS Enrolled

6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344(952) 767-6966(612) 728-5301 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kriss Regan Sjostrom Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISS REGAN SJOSTROM LPCC (NPI 1164088589) is an individual professional provider in Eden Prairie, Minnesota, licensed in Minnesota (CC02108) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164088589

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKRISS REGAN SJOSTROMCredential: LPCC

Location Address6458 CITY WEST PKWYEden Prairie, MN 55344-3245

Mailing Address6458 City West PkwyEden Prairie, MN 55344-3245 · (952) 767-6966 · Fax (612) 728-5301

Phone(952) 767-6966

Fax(612) 728-5301

Sole ProprietorNo

Enumeration DateMay 10, 2019

✔ NPI 1164088589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC02108

6458 CITY WEST PKWY, Eden Prairie, MN 55344

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kriss Regan Sjostrom Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SADICHHYA SHAKYA

Counselor (Mental Health)