Individual provider Active NPI

Eric Francis Boone, LICSW

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1982702981
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10413 Issued in MN
Practice address
314 Clifton Ave Ste 200C
Minneapolis, MN 55403-3226
Phone
(612) 454-9798
NPI assigned
Sep 21, 2006
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10413 MN Primary

Addresses

Primary practice location

314 Clifton Ave Ste 200C
Minneapolis, MN 55403-3226

Mailing address

3023 Lynn Ave
Apt 25
St Louis Park, MN 55416-4040
Phone (612) 454-9798

Other practice location 1

215 Old 6th St W
Saint Paul, MN 55102-1026
Phone (651) 222-3001

Other identifiers 1

IdentifierTypeStateIssuer
460673600MedicaidMN

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
I20070119000113 MN Practitioner - Clinical Social Worker 3375544265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

314 Clifton Ave
Suite 200C
Minneapolis, MN 55403-3226
Phone (612) 454-9798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Victims of Torture Past Accepting new patients

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1982702981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 LYNN AVE",
            "address_2": "APT 25",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164040",
            "telephone_number": "612-454-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CLIFTON AVE STE 200C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033226",
            "telephone_number": "612-454-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Old 6th St W",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551021026",
            "country_code": "US",
            "telephone_number": "651-222-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "ERIC",
        "middle_name": "FRANCIS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "10413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460673600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.