Shelly Marie Harvey, LPC
Individual provider Active NPI Mental Health Counselor · Eden Prairie, MN
NPI 1619655776 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1619655776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 02848 (MN)
- Practice address
- 8712 Livingston LN
Eden Prairie, MN 55347-2228 - Phone
- (612) 396-0943
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02848 | MN | MD | Mental Health Counselor |
| 1003602 | MN | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1003602 | MN | |
| Mental Health Counselor | 101YM0800X | 02848 | MN | Yes |
Addresses
Primary practice location
8712 Livingston LN
Eden Prairie, MN 55347-2228
Mailing address
8712 Livingston LN
Eden Prairie, MN 55347-2228
Phone (612) 396-0943
Other providers in Eden Prairie, MN
- Christopher Hart
- Ian Hart
- Amy Lynn Hartman
- Benjamin Phillip Hartman
- Matthew Hartman
- Afira Hasan
- Abubakar Hajiadan Hassan
- Rani Bedel Hassan
- Shukri Sadig Hassan
- Douglass S. Hassell
All providers in Eden Prairie, MN · Mental Health Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.