IndividualActive
Bonnie Ellingboe, MA LP
NPI 1215015789 · Counseling Psychologist · Rogers, MN
Provider details
- NPI number
- 1215015789
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- MA LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MN3177 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
14115 James Rd Ste 305
Rogers, MN 55374-9417
Phone: (763) 575-8086
Fax: (320) 774-0415
Approximate (ZIP-level) locationGet directions
Mailing address
14115 James Rd Ste 305
Rogers, MN 55374-9417
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2018-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.