Jordan Bolstad, M.ED, LPCC
NPI 1760054027ActiveIndividual· Counselor, Professional· Wadena, MN
Counselor, Professional (M.ED, LPCC) with Shari Phillips, LLC, practicing in Wadena, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1760054027 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED, LPCC |
| Sole proprietor | No |
| NPI issued | Jul 15, 2021 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Sep 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | CC03366 | MN |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Shari Phillips, LLCWadena, MN · 8 clinicians
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