Bianca Lee Bodine-Haag, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03877 Issued in MN

Practice address

1409 Willow St Ste 400
Minneapolis, MN 55403-3251

Phone

(612) 445-0225

Fax

(612) 445-0112

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1245996149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161237",
            "telephone_number": "612-615-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033251",
            "telephone_number": "612-445-0225",
            "fax_number": "612-445-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODINE-HAAG",
        "first_name": "BIANCA",
        "middle_name": "LEE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-08-25",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03877",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bianca.bodine-haag@transcendpsychotherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Secure email",
            "affiliationName": "Transcend Psychotherapy, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1409 Willow St Ste 400",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554033251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walter O Bockting, PHD
• Zachary Bodeau, LPCC, MA
• Lora Janelle Bodell
• Darcy Bodger, OTR/L
• Shruti Sanjay Bodhankar, M.B.B.S.
• Paru Bodiwala
• Erin Anne Bodner, SLP
• Nicole R Bodner, APRN, CNP
• Barbara A. Bodnia, CRNA
• Megan Jan Boe, PA-C

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, 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 Aug 25, 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.