Individual provider Active NPI

Shelby Marie Wolf

  • Psychologist
  • Mankato, MN
National Provider Identifier
1346766946
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP6440 Issued in MN
Practice address
124 E Walnut St Ste 260
Mankato, MN 56001-1103
Phone
(507) 461-8061
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP6440 MN Primary

Addresses

Primary practice location

124 E Walnut St Ste 260
Mankato, MN 56001-1103

Mailing address

124 E Walnut St Ste 260
Mankato, MN 56001-1103
Phone (507) 461-8062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Learning and Behavior, LLC CurrentSince Oct 21, 2025 Accepting new patients
Clarity Assessments, PLLC Current Accepting new patients
Five Rivers Mental Health LLC PastSince Aug 21, 2017 Accepting new patients
Soar Medical Services PLLC Past Accepting new patients
Soar Health, Inc. Psychologist Past Accepting new patients
Adult, Child & Family Services, LLC Psychologist PastSince Jul 14, 2003 Accepting new patients

Locations

124 E Walnut St
Ste 260
Mankato, MN 56001

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1346766946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E WALNUT ST STE 260",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560011103",
            "telephone_number": "507-461-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E WALNUT ST STE 260",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560011103",
            "telephone_number": "507-461-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.