Shawn S. Gravelle, LPCC
NPI 1295855963ActiveIndividual· Counselor, Professional· Chaska, MN
Counselor, Professional (LPCC) with Nystrom and Associates Ltd and 1 other group, practicing in Chaska, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1295855963 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 1217 | MN |
| Counselor | 101Y00000X | LPC3523 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- Nystrom and Associates LtdBaxter, MN · 590 clinicians
- Richard Kneip PHD PCClarkston, MI · 247 clinicians
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