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JEROME RAYMOND BOTTELBERGHE LPC
NPI 1154953651
Counselor - Mental Health in Minneota, MN

Active since February 12, 2020
110 E 2ND ST, MINNEOTA, MN 56264(507) 530-2029 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerome Raymond Bottelberghe Lpc NPPES

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

JEROME RAYMOND BOTTELBERGHE LPC (NPI 1154953651) is an individual mental health provider in Minneota, Minnesota, licensed in Minnesota (01219) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1154953651
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEROME RAYMOND BOTTELBERGHECredential: LPC
Location Address110 E 2ND STMinneota, MN 56264-9639
Mailing Address110 E 2nd StMinneota, MN 56264-9639 · (507) 530-2029
Phone(507) 530-2029
Sole ProprietorYes
Enumeration DateFebruary 12, 2020
✔ NPI 1154953651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 01219
110 E 2ND ST, Minneota, MN 56264
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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

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 Jerome Bottelberghe's NPI number?

The NPI number for Jerome Bottelberghe is 1154953651. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Jerome Bottelberghe located?

Jerome Bottelberghe practices at 110 E 2nd St, Minneota, MN 56264. The listed phone number is (507) 530-2029.

What is Jerome Bottelberghe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerome Bottelberghe was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.