SHARI PHILLIPS (LPCC) – Mental Health Counselor, NPI 1710144266

SHARI PHILLIPS (LPCC) is a healthcare provider. based in Wadena, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. CC01963 (MN). The NPI Number for SHARI PHILLIPS (LPCC) is 1710144266

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SHARI PHILLIPS (LPCC)
NPI
1710144266
Phone
(218) 631-1714
Address
11 2nd St SW
Enumeration Date
21 May 2008
Last Update Date
10 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186324303
Graduation Year
2014 (12 years ago)
PAC ID
0143765651
Group Practice PAC ID
9537509336
Professional Enrollment ID
I20240807003173
Address ID
MN564821367WA116XXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for SHARI PHILLIPS (LPCC)

  • 11 2nd St SW

    SUITE 1

    Wadena, MN 564821417

    Phone: (218) 631-1714

    Fax: (218) 631-4228

    Type: Location

  • 11, 2nd Street Southwest, Wadena, Wadena County, Minnesota, 56482, United States

    SUITE 1

    WADENA, MN 564821417

    Phone: (218) 631-1714

    Fax: (218) 631-4228

    Type: Location

  • 116 ASH AVE NW STE 2

    WADENA, MN 564821347

    Phone: (218) 640-7368

    Type: Location

  • 310 3RD ST NW

    WADENA, MN 564821118

    Phone: (218) 640-7368

    Fax: (218) 640-7368

    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: 2024-08-07

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
I20240807003173IMental 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 56482)

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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: 9537509336View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHARI PHILLIPS (LPCC)?
SHARI PHILLIPS (LPCC) — NPI 1710144266 — is the standard way to identify this listing.
Does CMS list SHARI PHILLIPS (LPCC) as active?
Yes — SHARI PHILLIPS (LPCC) is active in the NPI listing used on this page.
What healthcare role does SHARI PHILLIPS (LPCC) hold?
Scheduling teams often label SHARI PHILLIPS (LPCC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is SHARI PHILLIPS (LPCC) based?
SHARI PHILLIPS (LPCC) is tied to Wadena, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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