Deanna Boettcher, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16 Washington Ave W Ste 101
Hutchinson, MN 55350-2481

Phone

(320) 632-5524

Fax

(888) 991-2741

NPI assigned

Mar 30, 2020

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Balance LTDGroup PAC ID 5597833525, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• True Balance LTD

  • Multi-Specialty Clinic/Center
  • Little Falls, MN
  • NPI 1205025442
  Medicare reassignment Care Compare group NPD
• Jacqui Ruzicka Counseling Services, LLC

  dba Serenity Mental Health Center

  • Community/Behavioral Health Agency
  • Hutchinson, MN
  • NPI 1669849808
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1164050662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON AVE W STE 101",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502481",
            "telephone_number": "320-632-5524",
            "fax_number": "888-991-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON AVE W STE 101",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502481",
            "telephone_number": "320-632-5524",
            "fax_number": "888-991-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "DEANNA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle E Blair, LADC
• Allison Blauvelt, LPN
• Emily Margaret Blom, LMFT
• Zoie Marie Bodensteiner
• John Michael Bodnar, DO
• Angela Sue Borjon, RN
• Amy Borstad
• Emmi Mae Bratsch
• Aleesha Briesemeister, PHARM.D.
• Cassie Lou Brinkmann

• Mental Health Counselor in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.