Shawn S. Gravelle, LPCC
Shawn S. Gravelle, LPCC is a Mental Health Counselor in Chaska, Minnesota. Qualified in 2004, 22 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Minnesota.
- Years since qualifying
- 22
- Licensed in
- ID, MN
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- LPCC — Licensed Professional Clinical Counselor
- The title some states use for a licensed clinical counsellor.
Practice location Address checks out
1107 Hazeltine Blvd Ste 370Chaska, MN 55318-1009
Phone: (952) 395-1441
Fax: (651) 395-1442
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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 1217 (MN) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence LPC3523 (ID) |
Record details
| NPI number | 1295855963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCC |
| Sole proprietor | No |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Nystrom And Associates Ltd — 617 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Chaska
-
Amy Burkholder
111 Hundertmark Rd Ste 205N, Chaska, MN 55318-1586 · (952) 426-3856