Active NPI
Troy Borchardt, LPCC
- Professional Counselor
- Saint Paul, MN
National Provider Identifier
1487100400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 01028
- Practice address
- 2499 Rice St
Suite 201
Saint Paul, MN 55113-3724 - Phone
- (218) 252-9713
- NPI assigned
- Aug 30, 2016
- Last updated
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 01028 | MN | Primary |
Addresses
Primary practice location
2499 Rice St
Suite 201
Saint Paul, MN 55113-3724
Mailing address
501 6TH Ave SW
Isanti, MN 55040-7279
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01028 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Based Therapy Associates | Past | Accepting new patients | |
| Troy Borchardt | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Saint Paul, MN
- NPI 1740736750
-
- Mental Health Counselor
- Coon Rapids, MN
- NPI 1194762005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1487100400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 6TH AVE SW",
"city": "ISANTI",
"state": "MN",
"postal_code": "550407279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 RICE ST",
"address_2": "SUITE 201",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551133724",
"telephone_number": "218-252-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCHARDT",
"first_name": "TROY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "01028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.