ROBERT JOHN BOULEY MA, LPCC
NPI 1831532159
Counselor in Apple Valley, MN

Q: What is Robert Bouley's NPI number?

The NPI number for Robert Bouley is 1831532159. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Robert Bouley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Bouley was last updated on December 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 17, 2013PECOS EnrolledAccepts Medicare Assignment

7300 147TH ST W STE 204, APPLE VALLEY, MN 55124(952) 997-3020(952) 997-3026 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2018, Oct 2, 2018 (2 updates tracked since 2018).

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About Robert John Bouley Ma, Lpcc NPPES

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

ROBERT JOHN BOULEY MA, LPCC (NPI 1831532159) is an individual counselor in Apple Valley, Minnesota, licensed in Minnesota (CC00576) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1831532159

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameROBERT JOHN BOULEYCredential: MA, LPCC

Location Address7300 147TH ST W STE 204Apple Valley, MN 55124-7850

Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411

Phone(952) 997-3020

Fax(952) 997-3026

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 17, 2013

Last NPPES UpdateDecember 31, 20182 updates tracked since enumeration

✔ NPI 1831532159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MN · CC00576

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

7300 147TH ST W STE 204, Apple Valley, MN 55124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert John Bouley Ma, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294178596

PECOS Enrollment IDI20240202002981

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

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