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Amanda Elizabeth Bolgren , MS, BCBA

Behavior Analyst β€’ Bloomington, MN

Active NPI 1891933230 Individual Practitioner Female Practitioner
Practice location in NPPES

1801 American Blvd E Ste 8
Bloomington, MN 554251230

Call 9527672267 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

1801 American Blvd E Ste 8

Bloomington, MN 554251230

Telephone 9527672267
Organization at the Same NPPES Address or Phone
Kidspeak Speech-Language Therapy Services Inc Facility NPI 1598357758

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

NPI first issued

2009

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Minnesota

67 active clinicians are listed under Behavior Analyst with a practice address in Bloomington, MN (1,393 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 67 clinicians have the CMS telehealth indicator.

0% of these 67 clinicians are listed by CMS as accepting Medicare assignment.

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

Self-certified to NPPES: 2021-03-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES HI BA-23

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES HI MH-272
Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bcba Certificate
1-15-19783

Clinicians Sharing This Practice Address or Phone

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

2 listed
Jillian Gramling , PT

Physical Therapist

NPI 1538868625

Physical Therapist

Clare Schuetz , MSW, LICSW

Social Worker - Clinical

NPI 1023356771

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Business Mailing Address March 26, 2021

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 6195506368)

πŸ“
Updated Practice Location September 17, 2020

Registered at 1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 554251230 (Tel: 9527672267)

πŸ“
Updated Business Mailing Address September 17, 2020

Registered at 2400 W 64TH ST, MINNEAPOLIS, MN 554231001 (Tel: 6128611688)

πŸ“
Updated Practice Location February 05, 2020

Registered at 6300 W OLD SHAKOPEE RD STE 102, BLOOMINGTON, MN 554382684 (Tel: 9528002226)

πŸ“
Updated Business Mailing Address February 05, 2020

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

πŸ‘€
Provider Name / Credentials Updated February 05, 2020

Recorded as AMANDA BOLGREN, MS, BCBA

πŸ“
Updated Practice Location August 30, 2019

Registered at 200 N VINEYARD BLVD STE 600, HONOLULU, HI 96817 (Tel: 8085999650)

πŸ“
Updated Business Mailing Address August 30, 2019

Registered at 710 GREEN ST, HONOLULU, HI 968132119 (Tel: 8085999650)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2019

Counselor (license number reported to NPPES: HI MH-272)

βœ…
NPI Profile Active January 22, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 22, 2009

Registered at 615 PIIKOI ST, SUITE 203, HONOLULU, HI 968143116 (Tel: 8085891829)

πŸ“
Business Mailing Address (Initial Record) January 22, 2009

Registered at 615 PIIKOI ST, SUITE 203, HONOLULU, HI 968143116 (Tel: 8085891829)

πŸ‘€
Provider Name / Credentials (Initial Record) January 22, 2009

Recorded as AMANDA BOLGREN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2009

Counselor

🟒
Initial NPI Registration & Enumeration January 22, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891933230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2009
Last Update: March 26, 2021
Sole Proprietor: No

Mailing Address

16782 Von Karman Ave Ste 11

Irvine, CA 926062417

Phone: 6195506368

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.