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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629661970

Shelby A Kirkwold, MS, LPCC is a Mental Health Counselor in Sartell, Minnesota. Qualified in 2018, 8 years ago. Practices with Core Professional Services, PA, a 9-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science 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

110 14th Ave E
Sartell, MN 56377-4644
Phone: (320) 202-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CC02633 (MN)

Record details

NPI number1629661970
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCC
Sole proprietorNo
NPI enumeratedFebruary 18, 2021
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Core Professional Services, P.A. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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