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BAMBOO COUNSELING SERVICES PLLC
NPI 1437691128
Community/Behavioral Health in Lindstrom, MN

Active since November 10, 2016
12295 LAKE BLVD, LINDSTROM, MN 55045(651) 243-8967 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bamboo Counseling Services Pllc NPPES

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

BAMBOO COUNSELING SERVICES PLLC (NPI 1437691128) is a healthcare organization registered as a community/behavioral health in Lindstrom, Minnesota and active in the NPI registry since November 2016. The organization lists Regina Hollibush, Outpatient Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1437691128
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBAMBOO COUNSELING SERVICES PLLC
Location Address12295 LAKE BLVDLindstrom, MN 55045-9325
Mailing Address12295 Lake BlvdLindstrom, MN 55045-9325 · (651) 243-8967
Phone(651) 243-8967
Organization SubpartNo
Authorized OfficialRegina HollibushOutpatient Mental Health Therapist · (651) 243-8967
Enumeration DateNovember 10, 2016
✔ NPI 1437691128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in MN · 18910✔ Licensed in WI · 6925
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
12295 LAKE BLVD, Lindstrom, MN 55045
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Other Identifiers 2

Medicaid1396910022MN
Other800002086MN · Medicare Number; Not Sure Which Identifier

Other Providers at the Same Location NPPES

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

PAUL ERIC MELBY MS
Counselor (Mental Health)
12295 LAKE BLVD
LINDSTROM, MN 55045
Chisago County (612) 799-8532

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 Bamboo Counseling Services PLLC's NPI number?

The NPI number for Bamboo Counseling Services PLLC is 1437691128. It was assigned to this organization in the NPPES registry on November 10, 2016.

Where is Bamboo Counseling Services PLLC located?

Bamboo Counseling Services PLLC is located at 12295 Lake Blvd, Lindstrom, MN 55045. The listed phone number is (651) 243-8967.

What is Bamboo Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Bamboo Counseling Services PLLC was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.