SHELLI N HALBERSMA LPCC
NPI 1174941223
Counselor - Professional in Saint Paul, MN

Q: What is Shelli Halbersma's NPI number?

The NPI number for Shelli Halbersma is 1174941223. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Q: What is Shelli Halbersma'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 Shelli Halbersma was last updated on June 13, 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 April 04, 2014PECOS Enrolled

2265 COMO AVE, SAINT PAUL, MN 55108(651) 645-5323(844) 358-8786 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 13, 2019, Oct 18, 2017 (2 updates tracked since 2017).

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About Shelli N Halbersma Lpcc NPPES

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

SHELLI N HALBERSMA LPCC (NPI 1174941223) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (1526) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174941223

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSHELLI N HALBERSMACredential: LPCC

Location Address2265 COMO AVESaint Paul, MN 55108

Mailing Address2265 Como AveSaint Paul, MN 55108-1737 · (651) 645-5323

Phone(651) 645-5323

Fax(844) 358-8786

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 4, 2014

Last NPPES UpdateJune 13, 20192 updates tracked since enumeration

✔ NPI 1174941223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in MN · 1526✔ Licensed in MN · 01445

2265 COMO AVE, Saint Paul, MN 55108

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Secondary Practice Location 1

Location 12925 Chicago AveMinneapolis, MN 55407-1321 · Phone (612) 262-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelli N Halbersma Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274012596

PECOS Enrollment IDI20260206003552

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.

MICHAEL HILMAR WAGNER R.D., L.D.

Nutritionist