Individual provider Active NPI

Chad Bosl, L.M.F.T

  • Marriage & Family Therapist
  • Sartell, MN
National Provider Identifier
1821346735
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2285 Issued in MN
Practice address
101 Dehler Dr
Sartell, MN 56377-4407
Phone
(320) 253-3512
Fax
(320) 253-1037
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2285 MN Primary

Addresses

Primary practice location

101 Dehler Dr
Sartell, MN 56377-4407

Mailing address

818 2ND St S
Suite #180
Waite Park, MN 56387-4528
Phone (320) 257-1800

Other practice location 1

818 2nd St S
Suite #180
Waite Park, MN 56387-4528
Phone (320) 257-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of St. Cloud CurrentSince May 8, 2024 Accepting new patients
Central Minnesota Mental Health Center CurrentSince Oct 23, 2024 Accepting new patients
Catholic Charities of the Diocese of St. Cloud CurrentSince May 8, 2024 Accepting new patients
Central Minnesota Mental Health Center CurrentSince Oct 23, 2024 Accepting new patients
Granite City Counseling, LLC PastSince Mar 5, 2019 Accepting new patients
Nystrom & Associates, LTD Marriage & Family Therapist PastSince Jul 9, 2023 Accepting new patients
Family Support Services Inc. PastSince May 30, 2023 Accepting new patients

Locations

308 12th Ave S
Buffalo, MN 55313
Phone (763) 682-4400

1321 13th St N
Saint Cloud, MN 56303
Phone (320) 252-5010

911 18th St N
Saint Cloud, MN 56303
Phone (320) 650-1550

411 3rd St N
Waite Park, MN 56387
Phone (320) 202-2037

Organizations & group practices 7

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1821346735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 2ND ST S",
            "address_2": "SUITE #180",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563874528",
            "telephone_number": "320-257-1800",
            "fax_number": "320-257-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEHLER DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774407",
            "telephone_number": "320-253-3512",
            "fax_number": "320-253-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 2nd St S",
            "address_2": "Suite #180",
            "address_purpose": "LOCATION",
            "city": "Waite Park",
            "state": "MN",
            "postal_code": "563874528",
            "country_code": "US",
            "telephone_number": "320-257-1800",
            "fax_number": "320-257-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSL",
        "first_name": "CHAD",
        "credential": "L.M.F.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.