Individual provider Active NPI

Erin Marie Rafferty-Bugher, ATR-BC, LPCC

  • Professional Counselor
  • Minneapolis, MN
National Provider Identifier
1548561293
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC000222 Issued in MN
Practice address
711 W Lake St
Suite 200
Minneapolis, MN 55408-2918
Phone
(612) 205-1687
NPI assigned
Nov 11, 2010
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC000222 MN Primary

Addresses

Primary practice location

711 W Lake St
Suite 200
Minneapolis, MN 55408-2918

Mailing address

808 Grandview Ave W
Roseville, MN 55113-4518
Phone (612) 205-1687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC000222MNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1548561293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GRANDVIEW AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134518",
            "telephone_number": "612-205-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W LAKE ST",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082918",
            "telephone_number": "612-205-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY-BUGHER",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "ATR-BC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC000222",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 11, 2010; 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.