Michelle Bohmert, MA LADC LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1989 Issued in MN

Practice address

604 5TH St SW
Rochester, MN 55902-3256

Phone

(651) 796-3556

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1407467640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 SPRUCE ST",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241775",
            "telephone_number": "952-994-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 5TH ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023256",
            "telephone_number": "651-796-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHMERT",
        "first_name": "MICHELLE",
        "credential": "MA LADC LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304462",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J Bohanon, R.N.
• Joni Marie Bohleen, RDH
• Sarah Rose Bohlen, OTD
• Jenna Leigh Bohlman, APRN, CNP
• John K Bohman, MD
• Eric T Boie, M.D.
• Eukeria Tanyir Boila Epse Nsameluh, CNP
• Barry A Boilson, MBBCH
• Nicholas A Boire, MD
• John P Bois, MD

• All providers in Rochester, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.