KRISTINE LEE EDSTROM LPCC
NPI 1225679053
Counselor - Professional in Virginia, MN

Active since October 02, 2019PECOS EnrolledAccepts Medicare Assignment
504 S 2ND AVE, VIRGINIA, MN 55792(218) 212-5700 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Lee Edstrom Lpcc NPPES

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

KRISTINE LEE EDSTROM LPCC (NPI 1225679053) is an individual professional provider in Virginia, Minnesota, licensed in Minnesota (2875) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225679053
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTINE LEE EDSTROMCredential: LPCC
Location Address504 S 2ND AVEVirginia, MN 55792
Mailing AddressPo Box 498Biwabik, MN 55708-0498 · (218) 591-6023
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 2, 2019
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
NPI 1225679053 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 · 2875
504 S 2ND AVE, Virginia, MN 55792

Other Identifiers 1

Other2875MN · Mn Board Of Behavioral Health And Therapy

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristine Lee Edstrom Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769975564
PECOS Enrollment IDI20251201002576
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 2

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

Psychologist
504 S 2ND AVE, SUITE 210
VIRGINIA, MN 55792
Psychiatry & Neurology (Addiction Psychiatry)
504 S 2ND AVE, SUITE 210
VIRGINIA, MN 55792

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 Kristine Edstrom's NPI number?

The NPI number for Kristine Edstrom is 1225679053. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Kristine Edstrom located?

Kristine Edstrom practices at 504 S 2nd Ave, Virginia, MN 55792. The listed phone number is (218) 212-5700.

What is Kristine Edstrom's specialty?

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

Is Kristine Edstrom enrolled in Medicare?

Yes. Kristine Edstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristine Edstrom accept?

Health plans from HealthPartners list Kristine Edstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Edstrom was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.