SHELBY A KIRKWOLD MS, LPCC
NPI 1629661970
Counselor - Addiction (Substance Use Disorder) in Sartell, MN

Active since February 18, 2021PECOS EnrolledAccepts Medicare Assignment
110 14TH AVE E, SARTELL, MN 56377(320) 202-1400 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2022, Feb 18, 2021 (2 updates tracked since 2021).

About Shelby A Kirkwold Ms, Lpcc NPPES

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

SHELBY A KIRKWOLD MS, LPCC (NPI 1629661970) is an individual addiction (substance use disorder) provider in Sartell, Minnesota, licensed in Minnesota (CC02633) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629661970
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHELBY A KIRKWOLDCredential: MS, LPCC
Location Address110 14TH AVE ESartell, MN 56377-4644
Mailing Address110 14th Ave ESartell, MN 56377-4644 · (320) 202-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 18, 2021
Last NPPES UpdateMarch 2, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1629661970 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
License Licensed in MN · CC02633
110 14TH AVE E, Sartell, MN 56377

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

Shelby A Kirkwold Ms, 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 ID9931642618
PECOS Enrollment IDI20240710000034
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 10

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

Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377
Marriage & Family Therapist
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377
Counselor (Professional)
110 14TH AVE E
SARTELL, MN 56377

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 Kirkwold's NPI number?

The NPI number for Shelby Kirkwold is 1629661970. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Shelby Kirkwold located?

Shelby Kirkwold practices at 110 14th Ave E, Sartell, MN 56377. The listed phone number is (320) 202-1400.

What is Shelby Kirkwold's specialty?

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

Is Shelby Kirkwold enrolled in Medicare?

Yes. Shelby Kirkwold 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 Shelby Kirkwold accept?

Health plans from HealthPartners list Shelby Kirkwold 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 Shelby Kirkwold was last updated on March 2, 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.