ROBERT JOHN BOULEY (NPI# 1831532159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831532159 |
| Entity Type | Individual |
| Full Name | ROBERT JOHN BOULEY |
| Credential | MA, LPCC |
| Practice Address |
7300 147th St W Ste 204 Apple Valley MN 55124-7850 |
| Mailing Address |
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789 |
| Practice Telephone | 9529973020 |
| Practice Fax Number | 9529973026 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CC00576 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1315 Girard Ave N, Minneapolis, MN 554113128 | 6122306270 | 6125227061 |
| 14115 James Rd Ste 305, Rogers, MN 55374 | 7635758086 | 3207740415 |
| 4969 Olson Memorial Hwy, Golden Valley, MN 554225138 | 7635758086 | 3207740415 |
| Street Address |
7300 147TH ST W STE 204 |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528338845 | Sylke M Knopp | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2012-01-03 |
| 1225638331 | Hannah Rose Gurno | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2020-10-28 |
| 1982220521 | Emily N Bailey | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2020-06-19 |
| 1700409281 | Bethany Rae Plutowski | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2020-05-19 |
| 1306465596 | Jeannine Marie Batchelder | Marriage & Family Therapist | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2020-04-08 |
| 1508418484 | Ashley Degenaar | Marriage & Family Therapist | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2019-07-11 |
| 1194289454 | Carmen R Adams | Social Worker | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2019-01-30 |
| 1962973289 | Mary Clare Aschenbrener | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2018-12-14 |
| 1972070373 | Ana Dean Podratz | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2018-10-24 |
| 1710482310 | Catherine Joan Kimrey-reid | Counselor | 7300 147th St W Ste 204, Apple Valley, MN 55124-7850 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982161691 | Javier A Diaz Jr. | Counselor | 11492 Cascade St, Apple Valley, CA 92308-5001 | 2019-02-28 |
| 1619292414 | Lydia Antoinette Lanfranco | Counselor | 10755 Apple Valley Rd, Apple Valley, CA 92308-3684 | 2010-04-05 |
| 1477736346 | Desiree T. Lelless | Counselor | 18484 Outer Hwy 18, Suite 125, Apple Valley, CA 92307-2375 | 2007-12-13 |
| 1174714208 | David Satterwhite | Counselor | 14845 Tonikan Ln, Apple Valley, CA 92307-4057 | 2007-08-05 |
| 1558561043 | Denise E Holmes | Counselor | 19059 Bear Valley Rd, Apple Valley, CA 92308-2716 | 2007-07-23 |
| 1023621513 | Derek Hale | Counselor | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2020-08-25 |
| 1700412939 | Jameka Janelle Smith | Counselor | 10755 Apple Valley Rd, Apple Valley, CA 92308-3684 | 2020-03-19 |
| 1780229369 | Frederick Juliano Carpio | Counselor | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2019-11-07 |
| 1568010825 | Yuriyah Manus | Counselor | 10755 Apple Valley Rd, Apple Valley, CA 92308-3684 | 2019-08-29 |
| 1841847092 | Trinity Youth Services | Counselor | 10755 Apple Valley Rd, Apple Valley, CA 92308-3684 | 2019-08-22 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on ROBERT JOHN BOULEY.
| 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.