Individual provider Active NPI

Jennifer Sue Boyd, MA, LMFT

  • Marriage & Family Therapist
  • Brooklyn Center, MN
National Provider Identifier
1184341273
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4134 Issued in MN
Practice address
3300 County Road 10 Ste 204B
Brooklyn Center, MN 55429-3065
Phone
(612) 284-8115
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4134 MN Primary

Addresses

Primary practice location

3300 County Road 10 Ste 204B
Brooklyn Center, MN 55429-3065

Mailing address

6712 Dupont Ave N
Brooklyn Center, MN 55430-1520
Phone (952) 955-4946

Other practice location 1

3300 County Road 10 Ste 204B
Brooklyn Center, MN 55429-3065
Phone (612) 284-8115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer@arubahemotionalhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4134MNMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arubah Emotional Health Services PA Marriage & Family Therapist PastSince Oct 23, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1184341273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 DUPONT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301520",
            "telephone_number": "952-955-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 204B",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "612-284-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 County Road 10 Ste 204B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554293065",
            "country_code": "US",
            "telephone_number": "612-284-8115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@arubahemotionalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Work E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3300 County Road 10 Ste 204B",
            "city": "Brooklyn Center",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554293065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.