Active NPI
Elaine Grace Berghuis, RBT
- Behavior Technician
- Woodbury, MN
National Provider Identifier
1659112175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2080 Wooddale Dr Ste 200
Woodbury, MN 55125-2920 - Phone
- (612) 201-2468
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2080 Wooddale Dr Ste 200
Woodbury, MN 55125-2920
Mailing address
13653 Territorial Rd Apt 116
Maple Grove, MN 55369-7904
Other names 1
- Elaine Grace Orourke
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomwell Behavioral Health Inc. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1659112175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13653 TERRITORIAL RD APT 116",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 WOODDALE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252920",
"telephone_number": "612-201-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGHUIS",
"first_name": "ELAINE",
"middle_name": "GRACE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELAINE",
"last_name": "OROURKE",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.