KELLY MARIE SHOWALTER MA, LPCC
NPI 1467277723
Counselor - Professional in Golden Valley, MN

Q: What is Kelly Showalter's NPI number?

The NPI number for Kelly Showalter is 1467277723. It was assigned to this individual provider in the NPPES registry on November 20, 2024. The provider is also known as Kelly Marie Reynolds.

Q: What is Kelly Showalter'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 Kelly Showalter was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 November 20, 2024PECOS Enrolled

8441 WAYZATA BLVD STE 140, GOLDEN VALLEY, MN 55426(651) 769-6300(651) 759-6349 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Marie Showalter Ma, Lpcc NPPES

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

KELLY MARIE SHOWALTER MA, LPCC (NPI 1467277723) is an individual professional provider in Golden Valley, Minnesota, licensed in Minnesota (4444) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467277723

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLY MARIE SHOWALTERCredential: MA, LPCC

Location Address8441 WAYZATA BLVD STE 140Golden Valley, MN 55426-1366

Mailing Address2497 7th Ave E Ste 108North St Paul, MN 55109-2949 · (651) 769-6437 · Fax (651) 769-6599

Phone(651) 769-6300

Fax(651) 759-6349

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 20, 2024

NPPES CertifiedNovember 20, 2024

✔ NPI 1467277723 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 · 4444

8441 WAYZATA BLVD STE 140, Golden Valley, MN 55426

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Other Names 1

Former Name (1)Kelly Marie Reynolds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Showalter Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082189337

PECOS Enrollment IDI20260406000605

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

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

EMILY THAMES DELANEY APRN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

8441 WAYZATA BLVD STE 140
GOLDEN VALLEY, MN 55426

Hennepin County (651) 769-6300

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 Kelly Showalter's NPI number?

The NPI number for Kelly Showalter is 1467277723. It was assigned to this individual provider in the NPPES registry on November 20, 2024. The provider is also known as Kelly Marie Reynolds.

Where is Kelly Showalter located?

Kelly Showalter practices at 8441 Wayzata Blvd Ste 140, Golden Valley, MN 55426. The listed phone number is (651) 769-6300.

What is Kelly Showalter's specialty?

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

Is Kelly Showalter enrolled in Medicare?

Yes. Kelly Showalter is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Showalter accept?

Health plans from HealthPartners list Kelly Showalter 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 Kelly Showalter was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.