Individual provider Active NPI

Shelley Rorvick, MA, LMFT

  • Marriage & Family Therapist
  • Duluth, MN
National Provider Identifier
1063896355
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2756 Issued in MN
Practice address
302 W Superior St
Suite 508
Duluth, MN 55802-5115
Phone
(218) 727-7353
NPI assigned
Jul 16, 2015
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 16029 AZ
Marriage & Family Therapist 106H00000X 1061-124 WI
Marriage & Family Therapist 106H00000X 2756 MN Primary

Addresses

Primary practice location

302 W Superior St
Suite 508
Duluth, MN 55802-5115

Mailing address

302 W Superior St
Suite 508
Duluth, MN 55802-5115
Phone (218) 409-6456

Other names 1

  • Shelley Campbell-Rorvick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401000298 MN Practitioner - Marriage and Family Therapist 4880032564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1061-124WIMDMarriage & Family Therapist
2756MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelley Rorvick LLC Marriage & Family Therapist CurrentSince Mar 16, 2023 Accepting new patients
The Institute for Psychological & Sexual Health, Inc. PastSince Apr 1, 2011 Accepting new patients

Locations

302 W Superior St
Ste 508
Duluth, MN 55802
Phone (218) 343-3406

306 W Superior St
Ste 900
Duluth, MN 55802
Phone (218) 409-6456

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1063896355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST",
            "address_2": "SUITE 508",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025115",
            "telephone_number": "218-409-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST",
            "address_2": "SUITE 508",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025115",
            "telephone_number": "218-727-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORVICK",
        "first_name": "SHELLEY",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "16029",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1061-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "CAMPBELL-RORVICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.