Boreal Therapy Group PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BOREAL THERAPY GROUP PLLC

Practice address

13911 Ridgedale Dr Ste 335
Minnetonka, MN 55305-1775

Phone

(612) 474-1181

NPI assigned

Oct 23, 2026

Last updated

Oct 23, 2026By 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

Mary Vorpahl, LICSW

Title

President

Phone

(612) 474-1181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1689571416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 335",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051775",
            "telephone_number": "612-474-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 335",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051775",
            "telephone_number": "612-474-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOREAL THERAPY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "VORPAHL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-474-1181",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Bomber, LPCC
• Caycee Jo Bonacci
• Eva Marina Boncich
• Shanequa Boone
• Mara Ann Boonstra, PT, DPT
• Michael Robert Borowiak, MSW, LICSW
• Christina J Bortone, NP
• Brooke Bosek
• Paul Both
• Rebecca A Bott, APNP

• Clinical Social Worker in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.