Active NPI
Boone Counseling Services, PLLC
- Mental Health Counselor
- Minneapolis, MN
National Provider Identifier
1427302363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BOONE COUNSELING SERVICES, PLLC
- Practice address
- 314 Clifton Ave
Suite 200C
Minneapolis, MN 55403-3235 - Phone
- (612) 454-9798
- Fax
- (952) 487-5234
- NPI assigned
- Oct 30, 2012
- Last updated
- Jun 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Francis Boone, LICSW
- Title
- Owner
- Phone
- (612) 454-9798
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | 10413 | MN |
Addresses
Primary practice location
314 Clifton Ave
Suite 200C
Minneapolis, MN 55403-3235
Mailing address
314 Clifton Ave Ste 200C
Minneapolis, MN 55403-3226
Phone (612) 454-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982702981 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
314 Clifton Ave
Ste 200C
Minneapolis, MN 55403
Phone (612) 454-9798
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Minneapolis, MN
- NPI 1982702981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1427302363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CLIFTON AVE STE 200C",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033226",
"telephone_number": "612-454-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 CLIFTON AVE",
"address_2": "SUITE 200C",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033235",
"telephone_number": "612-454-9798",
"fax_number": "952-487-5234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOONE COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-30",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-454-9798",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "10413",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982702981",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.