1. Home
  2. Directory
  3. Minnesota
  4. Detroit Lakes
  5. Counselor
  6. NPI Profile

LARRY W BOOMGAARDEN B.A., LAC-T
NPI 1295964518
Counselor - Addiction (Substance Use Disorder) in Detroit Lakes, MN

Active since July 08, 2009
1000 8TH ST SE, DETROIT LAKES, MN 56501(218) 847-0696(218) 847-4198 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry W Boomgaarden B.a., Lac-t NPPES

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

LARRY W BOOMGAARDEN B.A., LAC-T (NPI 1295964518) is an individual addiction (substance use disorder) provider in Detroit Lakes, Minnesota and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1295964518
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLARRY W BOOMGAARDENCredential: B.A., LAC-T
Location Address1000 8TH ST SEDetroit Lakes, MN 56501-2819
Mailing Address1000 8th St SeDetroit Lakes, MN 56501-2819 · (218) 847-0696 · Fax (218) 847-4198
Phone(218) 847-0696
Fax(218) 847-4198
Sole ProprietorNo
Enumeration DateJuly 8, 2009
Last NPPES UpdateMay 2, 2018
✔ NPI 1295964518 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
1000 8TH ST SE, Detroit Lakes, MN 56501
Open in Google Maps ↗

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.

JAMES ARTHUR THOM LAC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE
DETROIT LAKES, MN 56501
Becker County (218) 847-0696
SHERRY SIEVERT BS, LADC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE
DETROIT LAKES, MN 56501
Becker County (218) 847-0696
EDWARD RAY PACHEL LADC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE
DETROIT LAKES, MN 56501
Becker County (218) 847-0696
TERRY JO WOOD LADC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE
DETROIT LAKES, MN 56501
Becker County (218) 847-0696
MS. TERI ELLEN CAIN LADC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE
DETROIT LAKES, MN 56501
Becker County (218) 847-0696
JESOLA INC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE, STE A
DETROIT LAKES, MN 56501
Becker County (218) 847-0696
GRETA WINTER LADC
Counselor (Addiction (Substance Use Disorder))
1000 8TH ST SE
DETROIT LAKES, MN 56501
Becker County (218) 847-0696

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 Larry Boomgaarden's NPI number?

The NPI number for Larry Boomgaarden is 1295964518. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Larry Boomgaarden located?

Larry Boomgaarden practices at 1000 8th St SE, Detroit Lakes, MN 56501. The listed phone number is (218) 847-0696.

What is Larry Boomgaarden's specialty?

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

When was this NPI record last updated?

The NPPES record for Larry Boomgaarden was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.