Dr Jared Brent Bostrom, LMFT, LADC, CPRP - Counselor in Bloomington, MN

Dr Jared Brent Bostrom, LMFT, LADC, CPRP is a Counselor - Mental Health based in Bloomington, Minnesota. Dr Jared Brent Bostrom is licensed to practice in Minnesota (license number 4866770) and his current practice location is 1100 E 80th St, Bloomington, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 956-3101.

NPI number for Dr Jared Brent Bostrom is 1427329143 and his current mailing address is 1100 E 80th St Ste 100, Bloomington, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427329143.

Contact Information

Dr Jared Brent Bostrom, LMFT, LADC, CPRP
1100 E 80th St,
Bloomington, MN 55420-1426
(952) 956-3101
(952) 564-3031

Map and Direction


Healthcare Provider's Profile

Full NameDr Jared Brent Bostrom
GenderMale
SpecialityCounselor - Mental Health
Location1100 E 80th St, Bloomington, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1427329143
  • Provider Enumeration Date: 01/26/2012
  • Last Update Date: 11/22/2019

Medical Identifiers

Medical identifiers for Dr Jared Brent Bostrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427329143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 4866770 (Minnesota)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 303234 (Minnesota)Secondary
106H00000XMarriage & Family Therapist 2913 (Minnesota)Secondary
101YM0800XCounselor - Mental Health 4866770 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jared Brent Bostrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jared Brent Bostrom, LMFT, LADC, CPRP
1100 E 80th St Ste 100,
Bloomington, MN 55420-1426

Ph: (952) 956-3101
Dr Jared Brent Bostrom, LMFT, LADC, CPRP
1100 E 80th St,
Bloomington, MN 55420-1426

Ph: (952) 956-3101

Reviews and Comments


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