Katrina Boogerd, LPC, MA
Individual provider Active NPI Mental Health Counselor · Union, MO
NPI 1790170397 · NPPES record last updated Sep 26, 2019
Key facts
- NPI
- 1790170397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2015005788 (MO)
- Practice address
- 1780 Old Highway 50 E
Union, MO 63084-3397 - Phone
- (888) 403-1071
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6230 10TH St N
Suite 120
Oakdale, MN 55128-6159
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250918004433 | MN | Practitioner - Mental Health Counselor | 6002310398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015005788 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Mental Health PSC | Mental Health | Current |
Accepting new patients |
Locations
6230 10th St N
Ste 120
Saint Paul, MN 55128
Phone (651) 500-2389
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2015005788 | MO | Yes |
Addresses
Primary practice location
1780 Old Highway 50 E
Union, MO 63084-3397
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other providers in Union, MO
- Kimberly L Bickel
- Allison E Blake
- Judson R Bliss
- Alicia S. Bolzenius
- Marcella L Bolzenius
- Jamie Marie Borgmann
- Caitlin Elizabeth Bright
- Melissa J Bruce
- Kristen Ann Brueggemann
- Casey Lynn Buncher
All providers in Union, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.