Individual provider Active NPI

Jamie Fillmore Bosc, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1992643878
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4534 Issued in MN
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

Updated by the provider on Mar 23, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526001412 MN Practitioner - Marriage and Family Therapist 2264902725 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4534MNMDClinical 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.

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

Verify at the official NPI Registry.