Individual provider Active NPI

Richelle C Bouska, MHC

  • Mental Health Counselor
  • Dubuque, IA
National Provider Identifier
1013104140
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001037 Issued in IA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0091637MedicaidIA

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

LicenseStateTypeSpecialty
001037IAMDHearing 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

Verify at the official NPI Registry.