Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jared Brent Bostrom, LMFT, LADC, CPRP

Individual provider Counselor · NPI 1427329143

Dr. Jared Brent Bostrom, LMFT, LADC, CPRP is a Counselor in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
Specialties on file
4
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1100 E 80th St
Bloomington, MN 55420-1426
Phone: (952) 956-3101
Fax: (952) 564-3031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4866770 (MN)
Counselor Taxonomy 101Y00000X · Licence 4866770 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303234 (MN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 2913 (MN)

Record details

NPI number1427329143
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT , LADC , CPRP
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESNovember 22, 2019

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