ASHLEY BOERBOOM (NPI# 1669803474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669803474 |
| Entity Type | Individual |
| Full Name | ASHLEY BOERBOOM |
| Credential | M.A. |
| Practice Address |
120 E Main St Mankato MN 56001-3501 |
| Practice Telephone | 5073225464 |
| Mailing Telephone | 5073225464 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
120 E MAIN ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952947384 | Conor Quinn | Nurse Practitioner | 120 E Main St, Mankato, MN 56001-3501 | 2019-11-20 |
| 1003451238 | Rebecca Magner | Marriage & Family Therapist | 120 E Main St, Mankato, MN 56001-3501 | 2019-11-12 |
| 1164719647 | Christopher John Vaubel | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2011-07-05 |
| 1871669150 | John Stephen Kanyusik | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2006-11-28 |
| 1043386345 | Carlin Lee Wiemers | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2006-11-28 |
| 1699841908 | Lisa Anne Runck | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2006-11-28 |
| 1467548966 | Christopher L Sola | Psychiatry & Neurology | 120 E Main St, Mankato, MN 56001 | 2006-10-04 |
| 1699730366 | Timothy John Swanson | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2006-04-18 |
| 1528059979 | Drs Kanyusik Wiemers & Runck Pa | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585583 | Chris Schoenstedt | Counselor | 137 Coy St, Mankato, MN 56001-4609 | 2019-08-29 |
| 1508377581 | Helena Stevens | Counselor | 408 Tanager Path, Mankato, MN 56001-6446 | 2017-10-18 |
| 1033631213 | Aaron Geringer | Counselor | 530 N Riverfront Dr Ste 140, Mankato, MN 56001-3627 | 2017-07-10 |
| 1588067540 | Rochelle Ann Rheingans | Counselor | 201 N Broad St Ste 308, Mankato, MN 56001-3569 | 2014-10-06 |
| 1487053658 | Amy Norsten | Counselor | 931 Madison Ave # 312, Mankato, MN 56001 | 2014-08-13 |
| 1336573245 | Amanda Hope Wolff | Counselor | 1704 N Riverfront Dr Ste 3, Mankato, MN 56001-3284 | 2013-08-27 |
| 1194870881 | George Whitney Clements | Counselor | 201 N. Broad St., Mankato Mental Health Associates, Mankato, MN 56001 | 2007-01-24 |
| 1609933498 | Barbara Skodje Mack | Counselor | 209 S 2nd St, Suite 306, Mankato, MN 56001-3626 | 2007-01-02 |
| 1629681200 | Olivia Joy Richtsmeier | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2020-08-25 |
| 1447863022 | Ryan W Riebel | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2020-08-25 |
| Find all providers in MANKATO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.