Collette C Gboweh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8200 Humboldt Ave S Ste 100
Bloomington, MN 55431-1433

Phone

(952) 236-7891

Fax

(952) 426-4935

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1780153809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 68TH LN N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554305800",
            "telephone_number": "612-532-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311433",
            "telephone_number": "952-236-7891",
            "fax_number": "952-426-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBOWEH",
        "first_name": "COLLETTE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Garvelink
• Christine Lee Garwick-Foley, LPC
• Hillary Gaspar-Sanchez
• John Anton Gawlik Jr., D.D.S.
• Melissa Lee Gawlik, LMFT
• Jameela Gedeon
• Samira Gedi
• Abdulkadir Barre Geelle
• Addison Elizabeth Geil
• Katharine Gelecinskyj

• Mental Health Counselor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.