SHANNON POLLREIS-GOTTSCHALK (MA) – Mental Health Counselor, NPI 1407211154

SHANNON POLLREIS-GOTTSCHALK (MA) is a healthcare provider. based in St. paul, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. The NPI Number for SHANNON POLLREIS-GOTTSCHALK (MA) is 1407211154

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON POLLREIS-GOTTSCHALK (MA)
NPI
1407211154
Phone
(651) 644-8515
Address
570 ASBURY STREET
Enumeration Date
23 December 2015
Last Update Date
23 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524316033
Graduation Year
2014 (12 years ago)
PAC ID
3870943392
Group Practice PAC ID
2365339322
Professional Enrollment ID
I20231226001346
Address ID
MN551244510AP14665AVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for SHANNON POLLREIS-GOTTSCHALK (MA)

  • 570 ASBURY STREET

    SUITE 300

    ST. PAUL, MN 55104

    Phone: (651) 644-8515

    Type: Mailing

  • 570 ASBURY ST

    SUITE 300

    SAINT PAUL, MN 551041849

    Phone: (651) 644-8515

    Type: Location

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: 2023-12-26

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
I20231226001346IMarriage And Family TherapistMNTBD

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 55104)

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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: 2365339322View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Certified Clinical Nurse Specialist (Cns)MN
Nurse PractitionerMN
Clinical Social WorkerMN
-MN
Clinical Social WorkerMN
Certified Nurse Midwife (Cnm)MN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Does SHANNON POLLREIS-GOTTSCHALK (MA) have a public NPI I can cite?
Public records show SHANNON POLLREIS-GOTTSCHALK (MA) under NPI 1407211154.
Does the public listing show SHANNON POLLREIS-GOTTSCHALK (MA) as active?
SHANNON POLLREIS-GOTTSCHALK (MA)'s NPI record reflects an active status in NPPES.
What type of care does SHANNON POLLREIS-GOTTSCHALK (MA) provide?
SHANNON POLLREIS-GOTTSCHALK (MA)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHANNON POLLREIS-GOTTSCHALK (MA)?
SHANNON POLLREIS-GOTTSCHALK (MA) is associated with St. Paul, Minnesota in the same public data insurers reference.
Why is information missing for SHANNON POLLREIS-GOTTSCHALK (MA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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