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

Kelly Marie Showalter, MA, LPCC

Individual provider Professional Counselor · NPI 1467277723

Kelly Marie Showalter, MA, LPCC is a Mental Health Counselor in Golden Valley, Minnesota. Qualified in 2015, 11 years ago. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2024
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

8441 Wayzata Blvd Ste 140
Golden Valley, MN 55426-1366
Phone: (651) 769-6300
Fax: (651) 759-6349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4444 (MN)

Record details

NPI number1467277723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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