Individual provider Active NPI

Akpekanla Nehn Borh

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1922475896
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3152 Issued in MN
Practice address
110 6TH Ave S
Saint Cloud, MN 56301-5209
Phone
(320) 253-5930
Fax
(651) 925-0057
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3152 MN Primary

Addresses

Primary practice location

110 6TH Ave S
Saint Cloud, MN 56301-5209

Mailing address

1201 25TH St S
Fargo, ND 58103-2311
Phone (701) 451-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112003334 MN Practitioner - Marriage and Family Therapist 5799136875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3152MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanda Counseling and Psychological Services CurrentSince Sep 15, 2024 Accepting new patients

Locations

4969 Olson Memorial Hwy
Minneapolis, MN 55422
Phone 7635758086 ext. 165

14000 Northdale Blvd
Ste I
Rogers, MN 55374
Phone (763) 575-8086

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.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1922475896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032311",
            "telephone_number": "701-451-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 6TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015209",
            "telephone_number": "320-253-5930",
            "fax_number": "651-925-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORH",
        "first_name": "AKPEKANLA",
        "middle_name": "NEHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.