Connie Lou Bingel Bombenger, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301180 Issued in MN

Practice address

135 Colorado St E
Saint Paul, MN 55107-2244

Phone

(612) 916-4878

Fax

(651) 489-6458

NPI assigned

May 26, 2011

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

State licenses

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1982997722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14969 EMMA RD",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550374788",
            "telephone_number": "320-384-6293",
            "fax_number": "651-489-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLORADO ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072244",
            "telephone_number": "612-916-4878",
            "fax_number": "651-489-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBENGER",
        "first_name": "CONNIE",
        "middle_name": "LOU BINGEL",
        "name_prefix": "Ms.",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagasantosha Tejaswini Bollepalli, MD
• Anne Marie Boller, M.D.
• Susan J Bollinger-Brown, MSSW, LICSW, LCSW-C
• Corinne E Bolser, CRNA
• Jeffrey W. Bolser, RN
• Bernard L Bomberg, D.D.S.
• Bond Psychotherapy, LLC
• Abby Jean Bongers
• David Warren Bonham, MD
• Leah Louise Bonine

• Addiction (Substance Use Disorder) Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.