Bolger Family Counseling, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOLGER FAMILY COUNSELING, LLC

Doing business as

Grounding Space Therapy

Practice address

4801 1/2 Nicollet Ave
Minneapolis, MN 55419-5510

Phone

(612) 217-0854

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Melissa BolgerNPI 1417420548

Title

Owner

Phone

(612) 217-0854

Specialties & licenses 1

Addresses

Other names 1

• Grounding Space Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Bolger, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1417420548
  NPD Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1386494565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 1/2 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 1/2 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195510",
            "telephone_number": "612-217-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLGER FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "BOLGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-217-0854"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grounding Space Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bold North Psychotherapy, PLLC
• Tyler Bold
• Anne Boldt, MD
• Reghan Maureen Boldt, MOT, OTR/L, CLT
• David Benjamin Boleen
• Melissa Ann Bolger, LMFT
• Connie J Bolin, CRNA
• Matthew David Bolin
• Michelle M Bolin, CRNA
• Christine N Boline, APRN

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.