Individual provider Active NPI

Valerie Jeannette Borja, PHD, CRC, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1114566262
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65114 Issued in TX
Practice address
1424 Summit Ave
Fort Worth, TX 76102-5906
Phone
(956) 776-8257
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65114
Professional Counselor 101YP2500X 65114 TX Primary

Addresses

Primary practice location

1424 Summit Ave
Fort Worth, TX 76102-5906

Mailing address

1424 Summit Ave Apt 3020
Fort Worth, TX 76102-5980
Phone (956) 776-8257

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Drvalconsulting@gmail.com Direct

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
65114TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1114566262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 SUMMIT AVE APT 3020",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025980",
            "telephone_number": "956-776-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 SUMMIT AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025906",
            "telephone_number": "956-776-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJA",
        "first_name": "VALERIE",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "PHD, CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "65114",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Drvalconsulting@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1424 Summit Ave Apt 3020",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761025980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.