Active NPI
Nicole Renee Borsberry, LMHC
- Professional Counselor
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0174291
- Practice address
- 1800 Old Pecos TRL Ste P
Santa Fe, NM 87505-4759 - Phone
- (915) 549-5257
- NPI assigned
- Jan 5, 2013
- Last updated
- Feb 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0174291 | NM | Primary |
Addresses
Primary practice location
1800 Old Pecos TRL Ste P
Santa Fe, NM 87505-4759
Mailing address
342 Los Ranchos Rd NW
Los Ranchos, NM 87107-6531
Phone (915) 549-5257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4001 Office Court Dr
Suite 404
Santa Fe, NM 87507-4914
Phone (505) 435-8271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0174291 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1A Counseling LLC | Professional | Current | Accepting new patients |
Locations
1800 Old Pecos Trl
Ste P
Santa Fe, NM 87505
Phone (505) 310-1876
4001 Office Court Dr
Ste 404
Santa Fe, NM 87507
Phone (505) 435-8271
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1033456405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 LOS RANCHOS RD NW",
"city": "LOS RANCHOS",
"state": "NM",
"postal_code": "871076531",
"telephone_number": "915-549-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 OLD PECOS TRL STE P",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054759",
"telephone_number": "915-549-5257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORSBERRY",
"first_name": "NICOLE",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-05",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0174291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.