Individual provider Active NPI

Charmaine S. Borda, PH.D, LMHC, MFT

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1124259023
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 7781 Issued in FL
Practice address
1860 N Pine Island Rd
Suite 101
Plantation, FL 33322-5239
Phone
(954) 701-0241
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 7781 FL Primary
Marriage & Family Therapist 106H00000X IMT352 FL

Addresses

Primary practice location

1860 N Pine Island Rd
Suite 101
Plantation, FL 33322-5239

Mailing address

PO Box 17123
Plantation, FL 33318-7123
Phone (954) 701-0241

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
MH 7781FLMDMental Health Counselor
IMT352FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1124259023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17123",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333187123",
            "telephone_number": "954-701-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N PINE ISLAND RD",
            "address_2": "SUITE 101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225239",
            "telephone_number": "954-701-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDA",
        "first_name": "CHARMAINE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMHC, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7781",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.