RACHEL BOLLERUD LPCC
NPI 1912369422
Counselor - Mental Health in Willmar, MN

Q: What is Rachel Bollerud's NPI number?

The NPI number for Rachel Bollerud is 1912369422. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Q: What is Rachel Bollerud's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Bollerud was last updated on February 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment

1125 6TH ST SE, WILLMAR, MN 56201(320) 235-4613 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2017, Mar 23, 2016 (2 updates tracked since 2016).

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About Rachel Bollerud Lpcc NPPES

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

RACHEL BOLLERUD LPCC (NPI 1912369422) is an individual mental health provider in Willmar, Minnesota, licensed in Minnesota (CC01174) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912369422

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRACHEL BOLLERUDCredential: LPCC

Location Address1125 6TH ST SEWillmar, MN 56201-4675

Mailing Address709 Saint Olaf Ave NCanby, MN 56220-1122 · (701) 367-3005

Phone(320) 235-4613

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 23, 2016

Last NPPES UpdateFebruary 20, 20172 updates tracked since enumeration

✔ NPI 1912369422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · CC01174

1125 6TH ST SE, Willmar, MN 56201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Rachel Bollerud 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 ID4789034265

PECOS Enrollment IDI20231226000094

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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