Grace Elizabeth Louise Boehnke, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304271 Issued in MN

Practice address

604 5TH St SW
Rochester, MN 55902-3256

Phone

(507) 282-2500

NPI assigned

Jun 8, 2021

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 names 1

• Grace Elizabeth Louise Hoggard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 7, 2025 through Nov 7, 2027

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Healing Moments Counseling LLC

  • Community/Behavioral Health Agency
  • Monticello, MN
  • NPI 1043505373
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1063089134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 8TH ST NE",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559201440",
            "telephone_number": "651-829-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 5TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023256",
            "telephone_number": "507-282-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHNKE",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH LOUISE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "address_1": "126 8th St NE",
            "city": "Byron",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559201440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "HOGGARD",
            "middle_name": "ELIZABETH LOUISE",
            "credential": "LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald T Bodeau, MD
• John Bodensteiner, M.D.
• Neal David Boeder Jr., M.D.
• Stacey Boehm
• Kasey R Boehmer, PHD, MPH, NBC-HWC
• Scott Monroe Boeke, DO
• John C Boeker, DDS
• Mark A Boenish, CRNA
• Rebecca A Boenish, CRNA
• Guido Boerrigter, MD

• Addiction (Substance Use Disorder) Counselor in Rochester, MN
• Providers in Rochester, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.

Verify at the official NPI Registry.