BAMBOO COUNSELING SERVICES PLLC
NPI 1437691128
Community/Behavioral Health in Lindstrom, MN
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bamboo Counseling Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bamboo Counseling Services PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Bamboo Counseling Services PLLC enrolled in Medicare?
Yes. Bamboo Counseling Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bamboo Counseling Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bamboo Counseling Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Bamboo Counseling Services Pllc · NPI 1437691128
Community/Behavioral Health organization in Lindstrom, Minnesota. Organization record, active in the CMS NPPES registry since November 10, 2016.
## Identity
- **NPI:** 1437691128 (Entity type: Organization)
- **Enumerated:** November 10, 2016
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Regina Hollibush, OUTPATIENT MENTAL HEALTH THERAPIST
## Practice location
- **Address:** 12295 LAKE BLVD, Lindstrom, MN 55045-9325
- **Phone:** (651) 243-8967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2016
- **Other identifiers:** Medicaid 1396910022 (MN); Other 800002086 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1437691128) · Data from the CMS NPPES public registry.