Bonni Herpst, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14922 Issued in MN

Practice address

5011 Washburn Ave N
Minneapolis, MN 55430-3345

Phone

(612) 910-8222

NPI assigned

Sep 29, 2010

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

Medicare fee-for-service enrollment

Enrolled in MN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings Emotional Wellness & Holistic Therapies

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1982067559
  Medicare reassignment Authorized official
• Community Health Center of Fort Dodge, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eagle Grove, IA
  • NPI 1801596325
  NPD

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1437468170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 WASHBURN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303345",
            "telephone_number": "612-910-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 WASHBURN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303345",
            "telephone_number": "612-910-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERPST",
        "first_name": "BONNI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "14922",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "01468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricon Hernando
• Micah Alicia Herndon
• Hero Autism Center LLC
• Karin Lynn Herold, RN
• Sarah Herold, RN
• Adam Michael Herr, RN
• Elsbeth Bisbal Herr, APRN, CPNP-PC
• Laura R Herr
• Rachel Elizabeth Herr, LPCC
• Patricia Ann Herrboldt

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.