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

Individual provider Professional Counselor · NPI 1164088589

Kriss Regan Sjostrom, LPCC is a Mental Health Counselor in Eden Prairie, Minnesota. Qualified in 2012, 14 years ago. Practices with Fraser Child and Family Center, a 55-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2019
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

6458 City West Pkwy
Eden Prairie, MN 55344-3245
Phone: (952) 767-6966
Fax: (612) 728-5301
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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 CC02108 (MN)

Record details

NPI number1164088589
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMay 10, 2019
Last updated in NPPESMay 10, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fraser Child And Family Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Eden Prairie