Amanda Rose Hernandez Boraas, LADC LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3275 Issued in MN

Practice address

680 Commerce Dr Ste 272
Woodbury, MN 55125-4502

Phone

(651) 983-3348

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 6, 2024 through Sep 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Amanda Boraas PLLC

  • Marriage & Family Therapist
  • Woodbury, MN
  • NPI 1518709633
  NPD Authorized official
• Ellie Family Services, PLLP

  • Community/Behavioral Health Agency
  • Mendota Heights, MN
  • NPI 1740664150
  NPD (past)
• Nystrom & Associates, LTD

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

  Marriage & Family Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1053797530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 COMMERCE DR STE 272",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254502",
            "telephone_number": "651-983-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COMMERCE DR STE 272",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254502",
            "telephone_number": "651-983-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAAS",
        "first_name": "AMANDA",
        "middle_name": "ROSE HERNANDEZ",
        "credential": "LADC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303413",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Nmi Boltovskaia
• Susan Elizabeth Bond
• Melissa Bongard, PT
• Wendy M Bongers, MD
• Thomas Books, RPH
• Melissa Anne Bordenave, WHNP-BC
• Jennifer Lynn Borges, O.D.
• Morgan Borine, MA, MS, PMHNP-BC
• Debora Born, MASSAGE THERAPIST
• Katherine Bosch, MS, CCC-SLP

• Marriage & Family Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.