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Robert John Bouley , MA, LPCC

Counselor β€’ Apple Valley, MN

Active NPI 1831532159 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

7300 147th St W Ste 204
Apple Valley, MN 551247850

Call 9529973020 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7300 147th St W Ste 204

Apple Valley, MN 551247850

Telephone 9529973020
Fax 9529973026
Organization at the Same NPPES Address or Phone
Nystrom & Associates Counseling Wi., S.c. Facility NPI 1104549047

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Golden Valley, MN; Minneapolis, MN; Rogers, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Nystrom And Associates Ltd. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2009

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Robert Bouley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Robert Bouley as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Apple Valley and Minnesota

2 active clinicians are listed under Counselor with a practice address in Apple Valley, MN (450 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MN CC00576

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240202002981

Enrollment State Jurisdiction

MN

PECOS Control ID

5294178596

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Nystrom And Associates Ltd

7300 147th St W, Apple Valley, MN 551247850

Phone: 9529973020

Secondary Practice Locations

4969 Olson Memorial Hwy

Golden Valley, MN 554225138

Phone: 7635758086

1315 Girard Ave N

Minneapolis, MN 554113128

Phone: 6122306270

14115 James Rd Ste 305

Rogers, MN 55374

Phone: 7635758086

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Carmen Adams , MSW, LICSW

Social Worker - Clinical

NPI 1194289454

Master of Social Work, Licensed Independent Clinical Social Worker

Kristin Blegen

Counselor - Mental Health

NPI 1184210197
Avery Delahanty , MA, LADC, LPCC

Counselor - Professional

NPI 1164018032

Master of Arts, Licensed Alcohol and Drug Counselor, Licensed Professional Clinical Counselor

Daniel Durbin , PA-C

Physician Assistant - Medical

NPI 1184122046

Physician Assistant (Certified)

Ashley Gerdes , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396521878

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Sarah Hanson , LICSW

Social Worker - Clinical

NPI 1093213704

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location December 31, 2018

Registered at 7300 147TH ST W STE 204, APPLE VALLEY, MN 551247850 (Tel: 9529973020)

πŸ“
Updated Business Mailing Address December 31, 2018

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789 (Tel: 6516289566)

πŸ‘€
Provider Name / Credentials Updated December 31, 2018

Recorded as ROBERT BOULEY, MA, LPCC

πŸ“
Updated Practice Location October 02, 2018

Registered at 14115 JAMES RD STE 305, ROGERS, MN 55374 (Tel: 7635758086)

πŸ“
Updated Business Mailing Address October 02, 2018

Registered at 14115 JAMES RD STE 305, ROGERS, MN 553749417 (Tel: 7635758086)

βœ…
NPI Profile Active April 17, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2013

Registered at 1315 GIRARD AVE N, MINNEAPOLIS, MN 554113128 (Tel: 6122306270)

πŸ“
Business Mailing Address (Initial Record) April 17, 2013

Registered at 1315 GIRARD AVE N, MINNEAPOLIS, MN 554113128 (Tel: 6122306270)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2013

Recorded as ROBERT BOULEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2013

Counselor (license number reported to NPPES: MN CC00576)

🟒
Initial NPI Registration & Enumeration April 17, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831532159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2013
Last Update: December 31, 2018
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

Phone: 6516289566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.