MELISSA ANN BOLGER LMFT
NPI 1417420548
Marriage & Family Therapist in Minneapolis, MN

Q: What is Melissa Bolger's NPI number?

The NPI number for Melissa Bolger is 1417420548. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Q: What is Melissa Bolger's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Melissa Bolger enrolled in Medicare?

No. Melissa Bolger has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melissa Bolger was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 11, 2019Opted out of Medicare · through Jan 8, 2028

4801 1/2 NICOLLET AVE, MINNEAPOLIS, MN 55419(612) 217-0854 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 1, 2022, Jan 11, 2019 (2 updates tracked since 2019).

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About Melissa Ann Bolger Lmft NPPES

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

MELISSA ANN BOLGER LMFT (NPI 1417420548) is an individual marriage & family therapist in Minneapolis, Minnesota, licensed in Minnesota (3420) and active in the NPI registry since January 2019. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1417420548

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMELISSA ANN BOLGERCredential: LMFT

Location Address4801 1/2 NICOLLET AVEMinneapolis, MN 55419-5510

Mailing Address4801 1/2 Nicollet AveMinneapolis, MN 55419-5510 · (612) 217-0854

Phone(612) 217-0854

Sole ProprietorNo

Enumeration DateJanuary 11, 2019

Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration

NPPES CertifiedAugust 1, 2022

✔ NPI 1417420548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 3420

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4801 1/2 NICOLLET AVE, Minneapolis, MN 55419

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Ann Bolger Lmft 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 January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024

Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

LEILA COMER LMFT

Marriage & Family Therapist