Shannon Meghan Bogenschutz, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01535 Issued in MN

Practice address

3333 W Division St Ste 217
Saint Cloud, MN 56301-4557

Phone

(320) 253-4120

Fax

(320) 253-4179

NPI assigned

Sep 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Minnesota Mental Health Center

  • Counselor
  • Saint Cloud, MN
  • NPI 1053576546
  NPD (past)
• Central Minnesota Mental Health Center

  • Mental Health Counselor
  • Saint Cloud, MN
  • NPI 1639384043
  NPD (past)

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1447733233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST STE 217",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014557",
            "telephone_number": "320-253-4120",
            "fax_number": "320-253-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST STE 217",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014557",
            "telephone_number": "320-253-4120",
            "fax_number": "320-253-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGENSCHUTZ",
        "first_name": "SHANNON",
        "middle_name": "MEGHAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Boeke, M.D.
• Abby Boelter, LPN, IBCLC
• Jennifer Boelter, M.D.
• Abigale Boerger, RN
• Christine Thomas Robinson Boese, PA-C
• Nautica B. Bojorquez
• Sara Boleyn, N.P.
• Chelse Bolin
• Sara Boline, CMT
• Kayla Bolland-Hillesheim

• Professional Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.