Active NPI
Debra K Boroff, MS:ED
- Mental Health Counselor
- Kearney, NE
National Provider Identifier
1740583046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9278
- Practice address
- 4111 4TH Ave Ste 32
Kearney, NE 68845-2884 - Phone
- (308) 234-6029
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9278 | NE | Primary |
Addresses
Primary practice location
4111 4TH Ave Ste 32
Kearney, NE 68845-2884
Mailing address
4111 4TH Ave Ste 32
Kearney, NE 68845-2884
Phone (308) 234-6029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9278 | Other | NE | PROVISIONAL MENTAL HEALTH PRACTITIONER |
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 |
|---|---|---|---|
| 9278 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resources of Greater Nebraska PC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Grand Island, NE
- NPI 1205838083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1740583046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 4TH AVE STE 32",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452884",
"telephone_number": "308-234-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 4TH AVE STE 32",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452884",
"telephone_number": "308-234-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOROFF",
"first_name": "DEBRA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MS:ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "9278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL MENTAL HEALTH PRACTITIONER",
"identifier": "9278",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.