Barbara Anne Bofenkamp, MA LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0118 Issued in MN

Practice address

220 Division St
Northfield, MN 55057

Phone

(507) 645-9304

Fax

(507) 645-6151

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Healing and Resilience

  • Marriage & Family Therapist
  • Northfield, MN
  • NPI 1942369111

  Psychologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003984931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTER FOR HUMAN RESOURCES INC",
            "address_2": "220 DIVISION ST",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "55057",
            "telephone_number": "507-645-9304",
            "fax_number": "507-645-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DIVISION ST",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "55057",
            "telephone_number": "507-645-9304",
            "fax_number": "507-645-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOFENKAMP",
        "first_name": "BARBARA",
        "middle_name": "ANNE",
        "credential": "MA LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6220341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP20450",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "797221025211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9H002B0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sybil Kim Betsinger, LICSW
• Timothy Earle Beyer, D.O.
• Kari Julane Black, MSW, LICSW, LADC
• Claire Blanchard
• Cynthia Lynn Bock, PT
• Borak, Inc (Northfield Pharmacy)
• Kora A Bosworth, OD
• Nina Marie Bradfield, PA-C
• Lauren Alexandra Brandeen, MS, CF-SLP
• Elizabeth Brandenburg, OTR/L

• Psychologist in Northfield, MN
• Providers in Northfield, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.