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JORDAN BOLSTAD M.ED, LPCC
NPI 1760054027
Counselor - Professional in Wadena, MN

Active since July 15, 2021PECOS EnrolledAccepts Medicare Assignment
116 ASH AVE NW STE 2, WADENA, MN 56482(218) 632-4300(188) 849-4151 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Jul 15, 2021 (2 updates tracked since 2021).

About Jordan Bolstad M.ed, Lpcc NPPES

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

JORDAN BOLSTAD M.ED, LPCC (NPI 1760054027) is an individual professional provider in Wadena, Minnesota, licensed in Minnesota (CC03366) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760054027
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJORDAN BOLSTADCredential: M.ED, LPCC
Location Address116 ASH AVE NW STE 2Wadena, MN 56482-1367
Mailing Address116 Ash Ave Nw Ste 2Wadena, MN 56482-1367 · (218) 632-4300 · Fax (188) 849-4151
Phone(218) 632-4300
Fax(188) 849-4151
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2021
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1760054027 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 · CC03366
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
116 ASH AVE NW STE 2, Wadena, MN 56482
Open in Google Maps ↗

Other Names 1

Former Name (1)Jordan Lynn Salwei M.ed, Lpcc

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Bolstad M.ed, 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 ID5698156982
PECOS Enrollment IDI20240709003080
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Bolstad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shari Phillips LLC
Same address
Mental Health
116 ASH AVE NW, SUITE 2
Wadena, MN 56482
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1023691896 (218) 640-7368

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

KRYSTAL BEDELL MS, LMFT
Marriage & Family Therapist
116 ASH AVE NW STE 2
WADENA, MN 56482
Wadena County (218) 632-4300
MRS. KATIE LYNN TYRRELL LPCC
Counselor (Mental Health)
116 ASH AVE NW STE 2
WADENA, MN 56482
Wadena County (218) 632-4300
BRITTNEE MONSON LPCC
Counselor (Professional)
116 ASH AVE NW STE 2
WADENA, MN 56482
Wadena County (218) 632-4300
SHARI PHILLIPS LPCC
Counselor (Mental Health)
116 ASH AVE NW STE 2
WADENA, MN 56482
Wadena County (218) 640-7368

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 Jordan Bolstad's NPI number?

The NPI number for Jordan Bolstad is 1760054027. It was assigned to this individual provider in the NPPES registry on July 15, 2021. The provider is also known as Jordan Lynn Salwei M.Ed, Lpcc.

Where is Jordan Bolstad located?

Jordan Bolstad practices at 116 Ash Ave NW Ste 2, Wadena, MN 56482. The listed phone number is (218) 632-4300.

What is Jordan Bolstad's specialty?

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

Is Jordan Bolstad enrolled in Medicare?

Yes. Jordan Bolstad 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.

Which organization bills Medicare for Jordan Bolstad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Bolstad reassigns Medicare benefits to Shari Phillips LLC (Wadena, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Bolstad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Bolstad accept?

Health plans from HealthPartners and Sanford Health Plan list Jordan Bolstad 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 Jordan Bolstad was last updated on September 12, 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.