Shenika Nicole Bordeaux-Collins, LAC, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1800 Issued in ND

Practice address

2405 8TH St S Ste 200
Moorhead, MN 56560-4200

Phone

(218) 331-4866

Fax

(218) 331-4867

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Standing Tall Recovery & Consulting LLC

  • Case Management Agency
  • Fargo, ND
  • NPI 1053150995
  NPD Authorized official
• The Healing Center Counseling & Consulting Services PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fargo, ND
  • NPI 1346987302

  Addiction (Substance Use Disorder)

  NPD Authorized official
• The Healing Center Counseling & Consulting Services PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fargo, ND
  • NPI 1982387866

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Family Support Services Inc.

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220

  Mental Health

  NPD
• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

• Shenika Bordeaux Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2024.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1033728357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 35TH ST S APT 15",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038420",
            "telephone_number": "701-261-2455",
            "fax_number": "701-532-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 8TH ST S STE 200",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604200",
            "telephone_number": "218-331-4866",
            "fax_number": "218-331-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 35th St S Apt 15",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581038420",
            "country_code": "US",
            "telephone_number": "701-261-2455",
            "fax_number": "701-532-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEAUX-COLLINS",
        "first_name": "SHENIKA",
        "middle_name": "NICOLE",
        "credential": "LAC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "304585",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHENIKA",
            "last_name": "BORDEAUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Boe
• Thomas Lura Boe, DDS
• Michael Bogenreif, L/ATC
• Saybah Boley I
• Madison Boone
• Jae Borgen
• Mattie Boyd
• Steven Paul Boyd, R.PH
• Teona Lanece Boyd
• Jeffrey C Braaflat, PHARMD

• All providers in Moorhead, MN
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.