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JUSTIN SHEDIVY
NPI 1174807333
Counselor in New Brighton, MN

Active since October 06, 2011
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112(651) 628-9566 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Shedivy NPPES

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

JUSTIN SHEDIVY (NPI 1174807333) is an individual counselor in New Brighton, Minnesota and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1174807333
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJUSTIN SHEDIVY
Location Address1900 SILVER LAKE RD NW, SUITE 110New Brighton, MN 55112-1786
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 628-9566
Phone(651) 628-9566
Sole ProprietorNo
Enumeration DateOctober 6, 2011
✔ NPI 1174807333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1900 SILVER LAKE RD NW, New Brighton, MN 55112
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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.

BETHANY GAVIC MSW, LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JENNIFER PERRI
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
NATHAN HOCKERT
Physician Assistant (Medical)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (165) 162-8956
JACK LESLIE HINRICHS MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KATHLEEN ANN SPIRY LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KRISTEN MCLESKEY
Counselor (Mental Health)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
AMANDA LOUISE WEGNER BS
Counselor (Mental Health)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9556
DAVID KEARN
Psychologist (Clinical)
1900 SILVER LAKE RD NW, #110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Shedivy's NPI number?

The NPI number for Justin Shedivy is 1174807333. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Justin Shedivy located?

Justin Shedivy practices at 1900 Silver Lake Rd NW Suite 110, New Brighton, MN 55112. The listed phone number is (651) 628-9566.

What is Justin Shedivy's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Justin Shedivy was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.