SHAWN S. GRAVELLE LPCC
NPI 1295855963
Counselor - Professional in Chaska, MN

Q: What is Shawn Gravelle's NPI number?

The NPI number for Shawn Gravelle is 1295855963. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Shawn Gravelle'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 Shawn Gravelle was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 29, 2007PECOS EnrolledAccepts Medicare Assignment

1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318(952) 395-1441(651) 395-1442 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawn S. Gravelle Lpcc NPPES

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

SHAWN S. GRAVELLE LPCC (NPI 1295855963) is an individual professional provider in Chaska, Minnesota, licensed in Minnesota (1217) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295855963

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameSHAWN S. GRAVELLECredential: LPCC

Location Address1107 HAZELTINE BLVD STE 370Chaska, MN 55318-1009

Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411

Phone(952) 395-1441

Fax(651) 395-1442

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 29, 2007

Last NPPES UpdateJuly 22, 2024

NPPES CertifiedJuly 22, 2024

✔ NPI 1295855963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 1217

Also ListedCounselorTaxonomy 101Y00000X · License LPC3523 (ID)

1107 HAZELTINE BLVD STE 370, Chaska, MN 55318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan, Sanford Health Plan.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

Shawn S. Gravelle 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 ID4284081126

PECOS Enrollment IDI20231114001822

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 13

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

COREEN TRACEE JANDER MA (LPCC-TX)

Counselor (Professional)