DR. SHAWN R SCHOLTEN (ED.D.) – Counselor, NPI 1073695359

DR. SHAWN R SCHOLTEN (ED.D.) is a healthcare provider. based in Rock valley, Iowa. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials ED.D.. They hold a License No. 00226 (IA). The NPI Number for DR. SHAWN R SCHOLTEN (ED.D.) is 1073695359

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN R SCHOLTEN (ED.D.)
NPI
1073695359
Phone
(712) 476-5245
Address
1905 10TH ST
Enumeration Date
19 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7124765245
Graduation Year
1994 (32 years ago)
PAC ID
4183946189
Group Practice PAC ID
8527055714
Professional Enrollment ID
I20231122000304
Address ID
IA512471630RO1905XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

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Provider Addresses for DR. SHAWN R SCHOLTEN (ED.D.)

  • 1905, 10th Street, Rock Valley, Sioux County, Iowa, 51247, United States

    ROCK VALLEY, IA 512471630

    Phone: (712) 476-5245

    Fax: (712) 476-9621

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231122000304IMental Health CounselorIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51247)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527055714View full group profile
NameSpecialtyState
Clinical Social WorkerIA

Reviews

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Frequently asked questions

Is DR. SHAWN R SCHOLTEN (ED.D.) listed with a National Provider Identifier?
Yes — DR. SHAWN R SCHOLTEN (ED.D.) has NPI 1073695359 on file in the registry.
Is DR. SHAWN R SCHOLTEN (ED.D.) shown as active in public data?
Registry records indicate DR. SHAWN R SCHOLTEN (ED.D.) maintains an active NPI.
How would a patient describe DR. SHAWN R SCHOLTEN (ED.D.)'s focus?
For DR. SHAWN R SCHOLTEN (ED.D.), the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SHAWN R SCHOLTEN (ED.D.)?
Directory geography for DR. SHAWN R SCHOLTEN (ED.D.) centers on Rock Valley, Iowa.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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