Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. EDMUND A BOULEY CNS
NPI 1831286731
Clinical Nurse Specialist - Psychiatric/Mental Health in Fairmont, MN

Active since October 10, 2006
1420 N STATE ST, FAIRMONT, MN 56031(320) 219-7518 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Edmund A Bouley Cns NPPES

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

MR. EDMUND A BOULEY CNS (NPI 1831286731) is an individual psychiatric/mental health provider in Fairmont, Minnesota, licensed in Minnesota (R178506-5) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1831286731
Entity TypeIndividualMale
Primary Taxonomy364SP0808X
Provider Legal NameMR. EDMUND A BOULEYCredential: CNS
Location Address1420 N STATE STFairmont, MN 56031-3619
Mailing Address1420 N State StFairmont, MN 56031-3619 · (320) 219-7518
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 28, 2026
NPI 1831286731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
Licenses Licensed in MN · R178506-5 Licensed in TX · 723743
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 723743 (TX)
1420 N STATE ST, Fairmont, MN 56031

Other Identifiers 2

Other723743TX · Nursing License
OtherR178506-5MN · Clinical Nurse Specialist

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
1420 N STATE ST
FAIRMONT, MN 56031
Psychologist
1420 N STATE ST
FAIRMONT, MN 56031
Social Worker (Clinical)
1420 N STATE ST
FAIRMONT, MN 56031
Psychologist (Clinical)
1420 N STATE ST
FAIRMONT, MN 56031
Counselor (Mental Health)
1420 N STATE ST
FAIRMONT, MN 56031
Counselor
1420 N STATE ST
FAIRMONT, MN 56031
Psychologist (Counseling)
1420 N STATE ST
FAIRMONT, MN 56031
Psychologist (Clinical)
1420 N STATE ST
FAIRMONT, MN 56031

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 Edmund Bouley's NPI number?

The NPI number for Edmund Bouley is 1831286731. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Edmund Bouley located?

Edmund Bouley practices at 1420 N State St, Fairmont, MN 56031. The listed phone number is (320) 219-7518.

What is Edmund Bouley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

When was this NPI record last updated?

The NPPES record for Edmund Bouley was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.