Eileen Porter Borski, LPC ASSOCIATE

Primary specialty

CounselorTaxonomy code 101Y00000X

License

85098 Issued in TX

Practice address

9011 Navigation Cir
Montgomery, TX 77316-6889

Phone

(832) 819-1708

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eileen Borski PLLC

  • Professional Counselor
  • Montgomery, TX
  • NPI 1639825961
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 22, 2024 through Mar 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2022.

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1104570571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 NAVIGATION CIR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166889",
            "telephone_number": "936-441-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 NAVIGATION CIR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166889",
            "telephone_number": "832-819-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSKI",
        "first_name": "EILEEN",
        "middle_name": "PORTER",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85098",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "85098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trulythrivetherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Hipaa compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9011 Navigation Cir",
            "city": "Montgomery",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773166889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kristen Michelle Bowers, LM, CPM
• Caimbry Taylor Boyle, PTA
• Elizabeth Boysel
• Racheal Branch

• All providers in Montgomery, TX
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.