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JONATHAN BOORMAN LMFT
NPI 1063862043
Marriage & Family Therapist in Stillwater, MN

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
1875 NORTHWESTERN AVE S, STILLWATER, MN 55082(651) 439-4840 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Boorman Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BOORMAN LMFT (NPI 1063862043) is an individual marriage & family therapist in Stillwater, Minnesota, licensed in Minnesota (3232) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063862043
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJONATHAN BOORMANCredential: LMFT
Location Address1875 NORTHWESTERN AVE SStillwater, MN 55082-7534
Mailing Address1380 210th AveNew Richmond, WI 54017-6132 · (651) 319-1099
Phone(651) 439-4840
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 21, 2016
✔ NPI 1063862043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 3232
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1875 NORTHWESTERN AVE S, Stillwater, MN 55082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Boorman Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163867193
PECOS Enrollment IDI20240229003253
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Boorman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthwise Psychology, PA
30 mi
Clinical
11280 86TH AVE N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group
NPI 1184920753 (763) 400-7828

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERITTA R PHILLIPS MS, LPCC
Counselor (Mental Health)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 789-4039
DIANE M CRAGOE LMFT
Marriage & Family Therapist
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
JODY KAY DUNLAP LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
LEAH ELIZABETH SCRIBNER LMFT
Marriage & Family Therapist
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
ANNE CHRISTINE GETTLE LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
SARAH GLENDENNING SALDIN LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
MS. MARY ELIZABETH WILKENING LICSW
Social Worker (Clinical)
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840
MR. BRIAN E BURNS LMFT
Marriage & Family Therapist
1875 NORTHWESTERN AVE S
STILLWATER, MN 55082
Washington County (651) 439-4840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Boorman's NPI number?

The NPI number for Jonathan Boorman is 1063862043. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Jonathan Boorman located?

Jonathan Boorman practices at 1875 Northwestern Ave S, Stillwater, MN 55082. The listed phone number is (651) 439-4840.

What is Jonathan Boorman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jonathan Boorman enrolled in Medicare?

Yes. Jonathan Boorman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Boorman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Boorman reassigns Medicare benefits to Healthwise Psychology, PA (Maple Grove, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Boorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Boorman accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Jonathan Boorman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Boorman was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.