Active NPI
Shelby Marie Wolf
- Psychologist
- Mankato, MN
National Provider Identifier
1346766946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP6440
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Star Learning and Behavior, LLC | Current | Accepting new patients | |
| Clarity Assessments, PLLC | Current | Accepting new patients | |
| Five Rivers Mental Health LLC | Past | 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 | Past | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Mankato, MN
- NPI 1205704426
-
- Adolescent and Children Mental Health Clinic/Center
- Mankato, MN
- NPI 1720672793
-
- Psychologist
- Mankato, MN
- NPI 1902806045
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mankato, MN
- NPI 1689111601
-
- Developmental - Behavioral Pediatrics Physician
- Denver, CO
- NPI 1427932532
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.