Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831532159 Individual Practitioner Male Practitioner

Robert John Bouley , MA, LPCC

Counselor • Apple Valley, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Robert Bouley, MA, LPCC is a certified Counselor practicing in Apple Valley, MN. With approximately 17 years of clinical experience since completing medical education in 2009, Robert Bouley delivers high-quality medical care to the local community at 7300 147TH ST W STE 204.

Robert Bouley is affiliated with Nystrom And Associates Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

7300 147th St W Ste 204

Apple Valley, MN 551247850

Telephone 9529973020
Fax 9529973026
Associated Practice Facility / Clinic
🏢 Nystrom & Associates, Ltd Facility NPI 1396750188

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Apple Valley, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Apple Valley, MN (455 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bouley (17 Years) 17 Yrs
Apple Valley Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MN CC00576

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.

Hospital & Practice Group Affiliations

Nystrom And Associates Ltd

7300 147th St W, Apple Valley, MN 551247850

Phone: 9529973020

Secondary Practice Locations

4969 Olson Memorial Hwy

Golden Valley, MN 554225138

Phone: 7635758086

1315 Girard Ave N

Minneapolis, MN 554113128

Phone: 6122306270

14115 James Rd Ste 305

Rogers, MN 55374

Phone: 7635758086

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lindsey Reichert , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013303817

Licensed Alcohol and Drug Counselor

Noah Stoltzman

Counselor - Addiction (Substance Use Disorder)

NPI 1013794676
Kristin Baker , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1023772282

Licensed Alcohol and Drug Counselor

Heather Hislop-Anderson , LPCC

Counselor - Professional

NPI 1043759624

Licensed Professional Clinical Counselor

Brittany Maxson , MS

Counselor - Professional

NPI 1043803919

Master of Science

Gary Hirmer , MSW, LICSW

Social Worker - Clinical

NPI 1063437945

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 31, 2018

Registered at 7300 147TH ST W STE 204, APPLE VALLEY, MN 551247850 (Tel: 9529973020)

📍
Updated Business Mailing Address December 31, 2018

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789 (Tel: 6516289566)

👤
Provider Name / Credentials Updated December 31, 2018

Recorded as ROBERT BOULEY, MA, LPCC

📍
Updated Practice Location October 02, 2018

Registered at 14115 JAMES RD STE 305, ROGERS, MN 55374 (Tel: 7635758086)

📍
Updated Business Mailing Address October 02, 2018

Registered at 14115 JAMES RD STE 305, ROGERS, MN 553749417 (Tel: 7635758086)

NPI Profile Active April 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2013

Registered at 1315 GIRARD AVE N, MINNEAPOLIS, MN 554113128 (Tel: 6122306270)

📍
Updated Business Mailing Address April 17, 2013

Registered at 1315 GIRARD AVE N, MINNEAPOLIS, MN 554113128 (Tel: 6122306270)

👤
Provider Name / Credentials Updated April 17, 2013

Recorded as ROBERT BOULEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2013

Counselor (License #CC00576 in MN)

🟢
Initial NPI Registration & Enumeration April 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831532159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2013
Last Update: December 31, 2018
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

Phone: 6516289566

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.