Andrea Dawn Shellen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1370 Issued in MN

Practice address

19285 Highway 7
Excelsior, MN 55331-9131

Phone

(612) 483-3812

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Andrea Dawn Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497825277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16575 FIVE HAWKS AVE SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722438",
            "telephone_number": "612-483-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19285 HIGHWAY 7",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319131",
            "telephone_number": "612-483-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEN",
        "first_name": "ANDREA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1370",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "OLSON",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Kay Schipper, M.ED.
• Jennifer Schmitz, CCC-SLP
• April Irene Schroepfer, CMT, CPT
• Michael T Schulenberg, MD
• Norman Scott
• Carolyn Sieraski, R.PH.
• Robert Skinner, D.V.M.
• SLP Chiropractic, PA
• Snyder Chiropractic
• Sojourn Suites LLC

• Marriage & Family Therapist in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.