MEDICARE: MS. BARBARA RAE HOVE LICSW, CEAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	00405	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	143357	OTHER	MN	BHP/UCARE
2	62-50810	OTHER	MN	UBH
3	26D19BA	OTHER	MN	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1811086929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA RAE HOVE LICSW, CEAP

Provider Business Mailing Address
First Line	:	12182 GRANDVIEW TER
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-9768
Country	:	US
Telephone Number	:	952-686-2809
Fax Number	:	952-686-2819

Provider Business Practice Location Address
First Line	:	4660 SLATER RD
Second Line	:	SUITE 225
City	:	EAGAN
State	:	MN
Zip	:	55122-4047
Country	:	US
Telephone Number	:	651-287-1480
Fax Number	:	952-686-2819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/09/2007

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