Boorman Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BOORMAN COUNSELING LLC

Practice address

550 10TH Ave
Baldwin, WI 54002-9426

Phone

(715) 977-2441

NPI assigned

Mar 12, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Boorman, LCSW

Title

Clinical Social Worker, Member

Phone

(715) 977-2441

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Marie Scott

  • Clinical Social Worker
  • New Richmond, WI
  • NPI 1639695612
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1487070561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540020251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 10TH AVE",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540029426",
            "telephone_number": "715-977-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOORMAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "BOORMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER, MEMBER",
        "authorized_official_telephone_number": "715-977-2441",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Ann Becker, PT
• Brittany Beeson, M.D.
• Lindsey Jae Berg, APSW
• Megan Bernu
• Paul A Boeder, MD
• Shelley Borgeson, ST
• Alexandra Marie Boyer
• Sara Renae Brown, CNM
• Brianna Brunner, OTR/L
• Andrea Kay Burns, DNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.