KRISTINE MARIE SHOEN (LICSW) – Mental Health Counselor, NPI 1558549907

KRISTINE MARIE SHOEN (LICSW) is a healthcare provider. based in Fairmont, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 17553 (MN). The NPI Number for KRISTINE MARIE SHOEN (LICSW) is 1558549907

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE MARIE SHOEN (LICSW)
NPI
1558549907
Phone
(507) 399-2149
Address
112 W 1ST ST
Enumeration Date
7 February 2008
Last Update Date
8 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076180425
Graduation Year
2005 (21 years ago)
PAC ID
9537232459
Professional Enrollment ID
I20080724000637
Address ID
MN560311744FA112XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for KRISTINE MARIE SHOEN (LICSW)

  • 112, West 1st Street, Fairmont, Martin County, Minnesota, 56031, United States

    SUITE 104

    FAIRMONT, MN 560311743

    Phone: (507) 399-2149

    Fax: (507) 399-2159

    Type: Location

  • 117, Downtown Plaza, Fairmont, Martin County, Minnesota, 56031, United States

    SUITE 104

    FAIRMONT, MN 560311726

    Phone: (507) 399-2149

    Fax: (507) 399-2159

    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: 2008-07-24

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
I20080724000637IClinical Social WorkerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour34013$0
View full utilization report →

Insurance plans in this area (ZIP 56031)

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Reviews

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Frequently asked questions

What is the standard ID for KRISTINE MARIE SHOEN (LICSW) in the U.S.?
In the U.S., KRISTINE MARIE SHOEN (LICSW) is identified by NPI 1558549907.
Should I treat KRISTINE MARIE SHOEN (LICSW) as an active provider?
Patients and plans typically see KRISTINE MARIE SHOEN (LICSW) as active in the national extract.
What type of care does KRISTINE MARIE SHOEN (LICSW) provide?
KRISTINE MARIE SHOEN (LICSW)'s profile centers on Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KRISTINE MARIE SHOEN (LICSW) tied to Fairmont, Minnesota?
If you are local to Fairmont, Minnesota, KRISTINE MARIE SHOEN (LICSW) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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