Individual provider Active NPI

Catherine Boyle

  • Marriage & Family Therapist
  • Elk River, MN
National Provider Identifier
1881424828
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4263 Issued in MN
Practice address
253 8TH St NW
Suite a
Elk River, MN 55330-1581
Phone
(763) 765-4000
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 4263 MN Primary

Addresses

Primary practice location

253 8TH St NW
Suite a
Elk River, MN 55330-1581

Mailing address

253 8TH St NW
Suite a
Elk River, MN 55330-1581
Phone (763) 765-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004307 MN Practitioner - Marriage and Family Therapist 9436698966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

253 8TH St NW
Suite a
Elk River, MN 55330-2889
Phone (763) 441-3770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Central Minnesota Mental Health Center Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Central Minnesota Mental Health Center CurrentSince Aug 1, 2024 Accepting new patients
Central Minnesota Mental Health Center Mental Health PastSince Aug 1, 2024 Accepting new patients

Locations

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

253 8th St NW
Ste A
Elk River, MN 55330
Phone (763) 441-3770

407 Washington St
Monticello, MN 55362
Phone (763) 271-5340

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1881424828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 8TH ST NW",
            "address_2": "SUITE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301581",
            "telephone_number": "763-765-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 8TH ST NW",
            "address_2": "SUITE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301581",
            "telephone_number": "763-765-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

Verify at the official NPI Registry.