GRACE ELIZABETH LOUISE BOEHNKE LADC
NPI 1063089134
Counselor - Addiction (Substance Use Disorder) in Rochester, MN

Active since June 08, 2021Opted out of Medicare · through Nov 7, 2027
604 5TH ST SW, ROCHESTER, MN 55902(507) 282-2500 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Elizabeth Louise Boehnke Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ELIZABETH LOUISE BOEHNKE LADC (NPI 1063089134) is an individual addiction (substance use disorder) provider in Rochester, Minnesota, licensed in Minnesota (304271) and active in the NPI registry since June 2021. She has opted out of Medicare through November 7, 2027.

NPPES Registry Identity

NPI1063089134
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGRACE ELIZABETH LOUISE BOEHNKECredential: LADC
Location Address604 5TH ST SWRochester, MN 55902-3256
Mailing Address126 8th St NeByron, MN 55920-1440 · (651) 829-0191
Sole ProprietorNo
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
NPI 1063089134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 304271
604 5TH ST SW, Rochester, MN 55902

Other Names 1

Former Name (1)Grace Elizabeth Louise Hoggard Ladc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Grace Elizabeth Louise Boehnke Ladc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2025 through November 7, 2027.

Opt-Out Effective DateNovember 7, 2025
Opt-Out In Effect ThroughNovember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
604 5TH ST SW
ROCHESTER, MN 55902
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
604 5TH ST SW
ROCHESTER, MN 55902
Counselor (Addiction (Substance Use Disorder))
604 5TH ST SW
ROCHESTER, MN 55902
Counselor (Addiction (Substance Use Disorder))
604 5TH ST SW
ROCHESTER, MN 55902
Counselor (Professional)
604 5TH ST SW
ROCHESTER, MN 55902
Substance Abuse Rehabilitation Facility
604 5TH ST SW
ROCHESTER, MN 55902
Counselor (Addiction (Substance Use Disorder))
604 5TH ST SW
ROCHESTER, MN 55902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Boehnke's NPI number?

The NPI number for Grace Boehnke is 1063089134. It was assigned to this individual provider in the NPPES registry on June 8, 2021. The provider is also known as Grace Elizabeth Louise Hoggard Ladc.

Where is Grace Boehnke located?

Grace Boehnke practices at 604 5th St SW, Rochester, MN 55902. The listed phone number is (507) 282-2500.

What is Grace Boehnke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Grace Boehnke enrolled in Medicare?

No. Grace Boehnke has opted out of Medicare through November 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Grace Boehnke accept?

Health plans from HealthPartners list Grace Boehnke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Boehnke was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.