Eden Broberg, MA — NPI 1265190474
Eden Broberg, MA’s National Provider Identifier is 1265190474. NPPES classifies this as a Type 1 individual record and reports a practice location in Stillwater, Minnesota. The primary taxonomy is Mental Health Counselor.
Key facts
- NPI
- 1265190474
- Entity type
- Type 1 individual
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 6381 OSGOOD AVE N BLDG C
Stillwater, Minnesota 55082 - Practice telephone
- (651) 401-8162
- Primary taxonomy
- Mental Health Counselor
- Additional taxonomies
-
- Student in an Organized Health Care Education/Training Program
- Enumeration date
- December 5, 2021
- NPPES last update
- May 11, 2023
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Eden Broberg, MA?
The NPI listed for Eden Broberg, MA in the NPPES snapshot is 1265190474. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1265190474 an individual or organization record?
NPPES records NPI 1265190474 as an Entity Type 1 record, which CMS assigns to an individual health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 6381 OSGOOD AVE N BLDG C, Stillwater, Minnesota 55082.
What taxonomy codes are listed for this NPI?
2 taxonomy codes are listed. Primary: Mental Health Counselor (101YM0800X). Additional: Student in an Organized Health Care Education/Training Program (390200000X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of May 11, 2023 and an enumeration date of December 5, 2021, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Stillwater, Minnesota NPI directory and the Minnesota NPI directory.
Other published profiles in Stillwater, MN
Up to ten other profiles this site publishes for Stillwater, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.