AMANDA BOERBOOM
NPI 1356235477
Counselor - Professional in Fitchburg, WI

Active since June 04, 2025
2924 MARKETPLACE DR STE 101, FITCHBURG, WI 53719(608) 886-9595 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Boerboom NPPES

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

AMANDA BOERBOOM (NPI 1356235477) is an individual professional provider in Fitchburg, Wisconsin, licensed in Wisconsin (8426-226) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1356235477
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA BOERBOOM
Location Address2924 MARKETPLACE DR STE 101Fitchburg, WI 53719-5334
Mailing Address9 Flagstaff CtMadison, WI 53719-2402 · (608) 206-4912
Sole ProprietorYes
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
NPI 1356235477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 8426-226
2924 MARKETPLACE DR STE 101, Fitchburg, WI 53719

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
2924 MARKETPLACE DR STE 101
FITCHBURG, WI 53719
Marriage & Family Therapist
2924 MARKETPLACE DR STE 101
FITCHBURG, WI 53719
Community/Behavioral Health
2924 MARKETPLACE DR STE 101
FITCHBURG, WI 53719
Counselor (Professional)
2924 MARKETPLACE DR STE 101
FITCHBURG, WI 53719

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 Amanda Boerboom's NPI number?

The NPI number for Amanda Boerboom is 1356235477. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Amanda Boerboom located?

Amanda Boerboom practices at 2924 Marketplace Dr Ste 101, Fitchburg, WI 53719. The listed phone number is (608) 886-9595.

What is Amanda Boerboom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Amanda Boerboom was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.