CHAD BOLSTROM (NPI# 1386927333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386927333 |
| Entity Type | Individual |
| Full Name | CHAD BOLSTROM |
| Credential | LPCC |
| Practice Address |
3137 Hennepin Ave # 202 Minneapolis MN 55408-2601 |
| Practice Telephone | 6122083294 |
| Mailing Telephone | 6122083294 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC00313 | MN | Behavioral Health & Social Service Providers |
| Street Address |
3137 HENNEPIN AVE # 202 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992898738 | Barry M Krelitz | Pharmacist | 3137 Hennepin Ave, Suite 100, Minneapolis, MN 55408-2601 | 2006-10-02 |
| 1821543349 | Jane L Stern | Psychologist | 3137 Hennepin Ave, Minneapolis, MN 55408-2601 | 2016-08-25 |
| 1619328176 | Patrick Sexton | Psychologist | 3137 Hennepin Ave, Minneapolis, MN 55408-2601 | 2016-06-27 |
| 1831502046 | Chad Timothy Allen | Counselor | 3137 Hennepin Ave, Suite 207, Minneapolis, MN 55408-2601 | 2014-06-05 |
| 1295077113 | Andrew Lyle John | Psychologist | 3137 Hennepin Ave, Suite 101, Minneapolis, MN 55408-2601 | 2013-03-18 |
| 1710245147 | Sschmidt LLC | Community/Behavioral Health | 3137 Hennepin Ave, Suite 101, Minneapolis, MN 55408-2601 | 2012-04-23 |
| 1033343637 | Jeffrey Shea Jones | Social Worker | 3137 Hennepin Ave, #102, Minneapolis, MN 55408-2601 | 2009-05-11 |
| 1215174073 | Kathryn Harrold | Marriage & Family Therapist | 3137 Hennepin Ave, #102, Minneapolis, MN 55408-2601 | 2009-01-15 |
| 1326232729 | Christa Ruth Surerus | Counselor | 3137 Hennepin Ave, #206, Minneapolis, MN 55408-2601 | 2007-08-29 |
| 1184756801 | Gay Luanne Joel | Clinical Neuropsychologist | 3137 Hennepin Ave, Suite 202, Minneapolis, MN 55408-2601 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1508477514 | Great Lakes Arms Program | Counselor | 2917 15th Ave S, Minneapolis, MN 55407-1427 | 2020-08-12 |
| 1467077073 | Mandy Don Schloesser | Counselor | 2755 Grand St Ne, Minneapolis, MN 55418-2611 | 2020-06-09 |
| 1275156473 | Megan Rose Relson | Counselor | 3111 Mckinley St Ne, Minneapolis, MN 55418-2333 | 2020-05-21 |
| 1699307967 | Minneapolis Autism Center Corp | Counselor | 621 E 38th St, Minneapolis, MN 55407-2571 | 2020-02-05 |
| 1366083438 | John Arthur Flannagan | Counselor | 4037 13th Ave S, Minneapolis, MN 55407-3243 | 2019-09-30 |
| 1790331262 | Heather O'brien | Counselor | 2200 E Franklin Ave Ste 200, Minneapolis, MN 55404-2395 | 2019-08-12 |
| 1023679750 | Sarah Haag | Counselor | 800 E 28th St Wasie, Minneapolis, MN 55407-3723 | 2019-06-24 |
| 1447721634 | Patricia Marie Reinecke Lebedeva | Counselor | 2021 E Hennepin Ave Ste 330, Minneapolis, MN 55413-1798 | 2018-12-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on CHAD BOLSTROM.
| 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.