ANNA WENDY SHOULTZ (LPCC) – Professional Counselor, NPI 1154170595

ANNA WENDY SHOULTZ (LPCC) is a healthcare provider. based in Rochester, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. CC04416 (MN). The NPI Number for ANNA WENDY SHOULTZ (LPCC) is 1154170595

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ANNA WENDY SHOULTZ (LPCC)
NPI
1154170595
Phone
(507) 512-3466
Address
343 Woodlake Dr SE
Enumeration Date
17 May 2024
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072892089
Graduation Year
2022 (4 years ago)
PAC ID
2668918061
Group Practice PAC ID
7810961703
Professional Enrollment ID
I20240722002662
Address ID
MN559046242RO343XXSEXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for ANNA WENDY SHOULTZ (LPCC)

  • 343 Woodlake Dr SE

    Rochester, MN 559046242

    Phone: (507) 512-3466

    Type: Location

  • 1620 GREENVIEW DR SW

    ROCHESTER, MN 559024319

    Phone: (507) 512-3466

    Type: Mailing

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: 2024-07-22

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
I20240722002662IMental Health CounselorMNTBD

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 55904)

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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: 7810961703View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Mental Health CounselorMN
Psychiatry, NeurologySD
Internal MedicineMN

Reviews

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Frequently asked questions

What is the standard ID for ANNA WENDY SHOULTZ (LPCC) in the U.S.?
In the U.S., ANNA WENDY SHOULTZ (LPCC) is identified by NPI 1154170595.
Should I treat ANNA WENDY SHOULTZ (LPCC) as an active provider?
Patients and plans typically see ANNA WENDY SHOULTZ (LPCC) as active in the national extract.
Which specialty label fits ANNA WENDY SHOULTZ (LPCC)?
NPPES ties ANNA WENDY SHOULTZ (LPCC) to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ANNA WENDY SHOULTZ (LPCC)?
The directory associates ANNA WENDY SHOULTZ (LPCC) with Rochester, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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