Active NPI
Jamie Fillmore Bosc, LMFT
- Marriage & Family Therapist
- Saint Paul, MN
National Provider Identifier
1992643878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4534
- Practice address
- 1515 Energy Park Dr
Saint Paul, MN 55108-5229 - Phone
- (612) 208-3659
- NPI assigned
- Mar 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4534 | MN | Primary |
Addresses
Primary practice location
1515 Energy Park Dr
Saint Paul, MN 55108-5229
Mailing address
730 E 38TH St Ste 101
Minneapolis, MN 55407-5218
Other practice location 1
730 E 38th St Ste 101
Minneapolis, MN 55407-5218
Phone (612) 208-3659
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
730 E 38TH St
Suite 101
Minneapolis, MN 55407-5218
7525 Mitchell Rd
Suite 215
Eden Prairie, MN 55344-1957
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4534 | MN | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1306389861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1992643878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 E 38TH ST STE 101",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554075218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 ENERGY PARK DR",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551085229",
"telephone_number": "612-208-3659"
}
],
"practiceLocations": [
{
"address_1": "730 E 38th St Ste 101",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554075218",
"country_code": "US",
"telephone_number": "612-208-3659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSC",
"first_name": "JAMIE",
"middle_name": "FILLMORE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "4534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.