Kristen Lea Borquist, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61549706 Issued in WA

Practice address

5800 Soundview Dr BLDG B
Gig Harbor, WA 98335-2000

Phone

(253) 256-2009

Fax

(833) 672-3313

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 2, 2024 through Aug 2, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1104664788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 GUSTAFSON DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358155",
            "telephone_number": "253-222-1333",
            "fax_number": "833-672-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SOUNDVIEW DR BLDG B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352000",
            "telephone_number": "253-256-2009",
            "fax_number": "833-672-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORQUIST",
        "first_name": "KRISTEN",
        "middle_name": "LEA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61549706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.