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

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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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.

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