Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Bolstad, MED, LPCC

Individual provider Mental Health Counselor · NPI 1760054027

Jordan Bolstad, MED, LPCC is a Mental Health Counselor in Wadena, Minnesota. Qualified in 2019, 7 years ago. Practices with Shari Phillips, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

116 Ash Ave NW Ste 2
Wadena, MN 56482-1367
Phone: (218) 632-4300
Fax: (188) 849-4151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC03366 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1760054027
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPCC
Sole proprietorNo
NPI enumeratedJuly 15, 2021
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shari Phillips, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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