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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shelli Halbersma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Francis Regional Medical Center
18 mi
Urgent Care
8170 OLD CARRIAGE CT STE 100
Shakopee, MN 55379
  • Reassigned Medicare billing, Minnesota enrollment
  • 320 clinicians in this Medicare group
NPI 1447605514 (952) 428-3600
Ridgeview Medical Center
19 mi
Urgent Care
7907 POWERS BLVD
Chanhassen, MN 55317
  • Reassigned Medicare billing, Minnesota enrollment
  • 581 clinicians in this Medicare group
NPI 1558142869 (952) 934-0570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
MISS KELLY PERTZSCH MA
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5325
STEFANIE KAITLYN JENSEN RD, LD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
KRISTA WANOUS MA, MFT, AT
Student in an Organized Health Care Education/Training Program
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINNEA MCCOSH
Marriage & Family Therapist
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
ARIEL SYVERTSON
Counselor (Professional)
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
DEANNA MILLER
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
LINDSEY STIYER RD
Dietitian, Registered
2265 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323

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 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.

Where is Shelli Halbersma located?

Shelli Halbersma practices at 2265 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 645-5323.

What is Shelli Halbersma's specialty?

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

Is Shelli Halbersma enrolled in Medicare?

Yes. Shelli Halbersma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelli Halbersma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelli Halbersma reassigns Medicare benefits to 2 organizations: St. Francis Regional Medical Center (Shakopee, MN) and Ridgeview Medical Center (Chanhassen, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelli Halbersma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.