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BOOSHKE MENTAL HEALTH INC.
NPI 1063464824
Social Worker - Clinical in Bemidji, MN

Active since May 17, 2006
522 BELTRAMI AVE NW STE 116, BEMIDJI, MN 56601(218) 760-2222(218) 444-7105 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Booshke Mental Health Inc. NPPES

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

BOOSHKE MENTAL HEALTH INC. (NPI 1063464824) is a healthcare organization registered as a clinical in Bemidji, Minnesota and active in the NPI registry since May 2006. The organization lists Melissa Ann George-humphrey, Mental Health Professional, as its authorized official.

NPPES Registry Identity

NPI1063464824
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBOOSHKE MENTAL HEALTH INC.
Location Address522 BELTRAMI AVE NW STE 116Bemidji, MN 56601-3002
Mailing Address2201 Shannon Ln SeBemidji, MN 56601-7328 · (218) 760-2222 · Fax (218) 444-7105
Phone(218) 760-2222
Fax(218) 444-7105
Organization SubpartNo
Authorized OfficialMelissa Ann George-humphreyMental Health Professional · (218) 760-2222
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 11, 2011
✔ NPI 1063464824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 14486
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
522 BELTRAMI AVE NW STE 116, Bemidji, MN 56601
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Other Identifiers 1

Medicaid288620100MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BALANCED COUNSELING AND CONSULTING PLLC
Counselor (Professional)
522 BELTRAMI AVE NW STE 116
BEMIDJI, MN 56601
Beltrami County (218) 308-9357

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 Booshke Mental Health Inc.'s NPI number?

The NPI number for Booshke Mental Health Inc. is 1063464824. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Booshke Mental Health Inc. located?

Booshke Mental Health Inc. is located at 522 Beltrami Ave NW Ste 116, Bemidji, MN 56601. The listed phone number is (218) 760-2222.

What is Booshke Mental Health Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Booshke Mental Health Inc. was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.