Individual provider Active NPI

Deanna Boettcher, MS

  • Mental Health Counselor
  • Hutchinson, MN
National Provider Identifier
1164050662
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
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
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Balance LTD 10 clinicians

Practice addresses (Care Compare)

16 Washington Ave W
Suite 101
Hutchinson, MN 55350-2481
Phone (320) 632-5524

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240122001874 MN Practitioner - Mental Health Counselor 6800246786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
True Balance LTD CurrentSince Jan 1, 2024 Accepting new patients
Jacqui Ruzicka Counseling Services, LLC PastSince Apr 17, 2022 Accepting new patients

Locations

228 Krays Mill Rd
Cold Spring, MN 56320
Phone (320) 348-1250

16 Washington Ave W
Ste 101
Hutchinson, MN 55350
Phone (320) 632-5524

225 3rd Ave NW
Hutchinson, MN 55350
Phone (320) 455-9888

1040 Adams St SE
Hutchinson, MN 55350
Phone (320) 632-5524

16016 233rd St
Little Falls, MN 56345
Phone (320) 632-5524

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

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

Mailing address

16 Washington Ave W Ste 101
Hutchinson, MN 55350-2481
Phone (320) 632-5524

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2023.

{
    "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": []
}

Other providers in Hutchinson, MN

Sources for this page

Verify at the official NPI Registry.