MS. BONNIE KAY ELLINGBOE (NPI# 1215015789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215015789 |
| Entity Type | Individual |
| Full Name | MS. BONNIE KAY ELLINGBOE |
| Credential | MA LP |
| Practice Address |
14115 James Rd Ste 305 Rogers MN 55374-9417 |
| Practice Telephone | 7635758086 |
| Practice Fax Number | 3207740415 |
| Mailing Telephone | 7635758086 |
| Mailing Fax Number | 3207740415 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
MN3177 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 926S8EL | 01 |
| MN | MEDICARE UBH | 6254698 | 01 |
| MN | 402820100 | 05 |
| Street Address |
14115 JAMES RD STE 305 |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013979848 | Jodi Lynn Sims | Marriage & Family Therapist | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2006-04-05 |
| 1023650876 | Corinne Romitti | Social Worker | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2019-10-14 |
| 1164080578 | Ashley Lee Smith | Counselor | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2019-05-31 |
| 1164085387 | Michelle Saari | Counselor | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2019-04-15 |
| 1629543293 | Catherine Jane Harden | Social Worker | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2018-10-09 |
| 1053824748 | Kaylie Broberg | Marriage & Family Therapist | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2017-11-16 |
| 1811353329 | Nichola Sue Hoglund | Marriage & Family Therapist | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2016-01-13 |
| 1417313339 | Rebecca Gerbig | Social Worker | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2016-01-07 |
| 1407261688 | Jennifer Hollar Berger | Counselor | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2014-06-25 |
| 1801112578 | Darla Jan Dammen | Psychologist | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992828016 | Gerald A. Kern | Psychologist | 21850 Territorial Rd, Rogers, MN 55374-9593 | 2007-04-06 |
| 1225046915 | Larry Marvin Schanus | Psychologist | 21370 John Milless Dr, Rogers, MN 55374-4621 | 2006-08-04 |
| 1487675229 | Virginia Krauft | Psychologist | 1601 Rainbow Rd, Rogers, AR 72758-8821 | 2006-07-21 |
| 1801178850 | Deborah H Dawes, Ph.d., Inc. | Psychologist | 1601 S Rainbow Rd, Rogers, AR 72758-8821 | 2011-09-15 |
| 1619075058 | Larry M Schanus Pa | Psychologist | 21370 John Milless Dr, Rogers, MN 55374-4621 | 2006-09-20 |
| 1699729251 | Deborah Hood Dawes | Psychologist | 1601 S Rainbow Rd, Rogers, AR 72758-8821 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355275 | Paul Franklin Singh | Psychologist | 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 | 2020-10-29 |
| 1639779127 | Abdifatah Nuuh | Psychologist | 4204 16th Ave S, Minneapolis, MN 55407-3312 | 2020-10-26 |
| 1134732514 | Colleen Cashen | Psychologist | 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 | 2020-08-26 |
| 1295357440 | Pure Potential Counseling | Psychologist | 18685 Dylan Dr, Farmington, MN 55024-7070 | 2020-05-11 |
| 1871115337 | Melissa Jean King | Psychologist | 205 W 2nd St Ste 437, Duluth, MN 55802-1922 | 2020-05-07 |
| 1841811296 | Kristen Math X | Psychologist | 1603 Pebble Creek Dr, Sartell, MN 56377-4538 | 2020-04-27 |
| 1245859982 | Thomas Allen | Psychologist | 12 Valley View Pl, Mankato, MN 56001-2500 | 2020-04-13 |
| 1033749163 | Neurocalm, LLC | Psychologist | 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 | 2020-01-16 |
| 1457999500 | Megan Robb | Psychologist | 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 | 2019-12-18 |
| 1821635723 | Leadership Coaching Institute LLC | Psychologist | 1264 Garden St, Ogilvie, MN 56358-3520 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. BONNIE KAY ELLINGBOE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.