Michael Edward Boehm, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3451-125 Issued in WI

Practice address

1707 Main St
La Crosse, WI 54601-4200

Phone

(608) 785-0001

Fax

(608) 785-0002

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family & Children's Center, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Winona, MN
  • NPI 1306169370
  NPD (past)
• Family Service of Winona

  • Psychologist
  • Winona, MN
  • NPI 1710986989
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1205000494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E 3RD ST",
            "address_2": "201",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873478",
            "telephone_number": "507-452-7292",
            "fax_number": "507-457-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014200",
            "telephone_number": "608-785-0001",
            "fax_number": "608-785-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3451-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40947100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler S Bluske, SAC-IT
• Anika Bly
• Robert L Bobenmoyer
• Joseph Bodnar, MS
• Sigurdur Bodvarsson, M.D.
• Rachel Boehm
• Meggan Lynn Boettcher, MSN, APRN, CNM
• Justin B Boge, D.O.
• Casey Alan Bohlman, MS, LPC-IT
• Michelle Boisen

• Professional Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.