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SHELBY EDEVOLD
NPI 1609498666
Counselor - Addiction (Substance Use Disorder) in Coon Rapids, MN

Active since May 13, 2020
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433(763) 767-3350 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shelby Edevold NPPES

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

SHELBY EDEVOLD (NPI 1609498666) is an individual addiction (substance use disorder) provider in Coon Rapids, Minnesota and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1609498666
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHELBY EDEVOLD
Location Address11660 ROUND LAKE BLVD NWCoon Rapids, MN 55433-2638
Mailing Address11660 Round Lake Blvd NwCoon Rapids, MN 55433-2638
Phone(763) 767-3350
Sole ProprietorNo
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1609498666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433
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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.

RUTH EILTS
Social Worker (Clinical)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MELANIE CARLSON-KAPPES MA, LMFT
Marriage & Family Therapist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CHARLES LOCHNER MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MIRANDA K LUTTERMAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CALSI GILBERTSON
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
CATHERINE JANE LUITJENS LP
Psychologist
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
AUGUSTUS KJOLHAUG MA
Counselor (Professional)
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350
MR. STEPHEN PAUL MONTRY LADC
Counselor (Addiction (Substance Use Disorder))
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433
Anoka County (763) 767-3350

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 Shelby Edevold's NPI number?

The NPI number for Shelby Edevold is 1609498666. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Shelby Edevold located?

Shelby Edevold practices at 11660 Round Lake Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.

What is Shelby Edevold's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelby Edevold was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.