Active NPI
Richelle C Bouska, MHC
- Mental Health Counselor
- Dubuque, IA
National Provider Identifier
1013104140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001037
- Practice address
- 2254 Flint Hill Dr Ste 2
Dubuque, IA 52003-8097 - Phone
- (563) 258-2657
- NPI assigned
- Oct 3, 2007
- Last updated
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001037 | IA | Primary |
Addresses
Primary practice location
2254 Flint Hill Dr Ste 2
Dubuque, IA 52003-8097
Mailing address
2254 Flint Hill Dr Ste 2
Dubuque, IA 52003-8097
Phone (563) 258-2657
Other practice location 1
2809 145th St
Fort Atkinson, IA 52144-7445
Phone (563) 258-2657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091637 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 26, 2025 through Mar 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001037 | IA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1013104140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2254 FLINT HILL DR STE 2",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520038097",
"telephone_number": "563-258-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2254 FLINT HILL DR STE 2",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520038097",
"telephone_number": "563-258-2657"
}
],
"practiceLocations": [
{
"address_1": "2809 145th St",
"address_purpose": "LOCATION",
"city": "Fort Atkinson",
"state": "IA",
"postal_code": "521447445",
"country_code": "US",
"telephone_number": "563-258-2657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUSKA",
"first_name": "RICHELLE",
"middle_name": "C",
"credential": "MHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091637",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.