Active NPI
Ashley Grace Borck, MA
- Counselor
- Great Falls, VA
National Provider Identifier
1093369506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704012997
- Practice address
- 737 Walker Rd Ste 1D
Great Falls, VA 22066-3833 - Phone
- (571) 305-5733
- NPI assigned
- Aug 1, 2019
- Last updated
- May 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0704012997 | VA | Primary |
Addresses
Primary practice location
737 Walker Rd Ste 1D
Great Falls, VA 22066-3833
Mailing address
737 Walker Rd Ste 1D
Great Falls, VA 22066-3833
Phone (571) 305-5733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704012997 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1093369506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 WALKER RD STE 1D",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220663833",
"telephone_number": "571-305-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 WALKER RD STE 1D",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220663833",
"telephone_number": "571-305-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCK",
"first_name": "ASHLEY",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704012997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.