Lynn Renee Borgmann, MA, LADC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

02208 Issued in MN

Practice address

12000 Elm Creek Blvd N Ste L70
Maple Grove, MN 55369-7167

Phone

(763) 898-3838

NPI assigned

Oct 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1285100263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N STE L70",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697167",
            "telephone_number": "763-898-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N STE L70",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697167",
            "telephone_number": "763-898-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGMANN",
        "first_name": "LYNN",
        "middle_name": "RENEE",
        "credential": "MA, LADC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bohn
• Alexis A. Bolick, PA-C
• Michele Bolte, LMT
• Megan R Bonniwell, DPT
• Anneka Marie Boomsma, DPT
• Shane Alex Boroditsky, D.C.
• Joettle Borward
• Julie Bosacker
• Boulder Point Access LLC
• Christine Elizabeth Boumann, PA-C

• All providers in Maple Grove, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.