Davina Borges, LIMHP, CPC
Individual provider Active NPI Professional Counselor · Chadron, NE
NPI 1124447693 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1124447693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2622 (NE)
- Practice address
- 202 Maple St
Chadron, NE 69337 - Phone
- (605) 673-7822
- NPI assigned
- Apr 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
229 Main St
Chadron, NE 69337-2355
Phone (605) 673-7822
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202001868 | NE | Practitioner - Mental Health Counselor | 0244765113 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11674 | NE | MD | Counselor |
| 2496 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Peace Holistic Healing Center LLC | Mental Health | Current |
Accepting new patients |
| A Touch of Hope Therapy | Mental Health | Past | Accepting new patients |
Locations
229 Main St
Chadron, NE 69337
Phone (308) 360-3703
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11674 | NE | |
| Mental Health Counselor | 101YM0800X | 2496 | NE | |
| Professional Counselor | 101YP2500X | 2622 | NE | Yes |
Addresses
Primary practice location
202 Maple St
Chadron, NE 69337
Mailing address
202 Maple St
Chadron, NE 69337-2223
Phone (605) 673-7822
Other practice location 1
300 Shelton St
Chadron, NE 69337-2312
Phone (308) 747-2402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-048223426 | Medicaid | NE |
Other names
- Davina Fessler
Other providers in Chadron, NE
- Black Hills Health and Wellness Center
- Black Hills Regional Eye Institute, LLP
- Stephanie Bland
- Keith Bradley Blaylock
- Jera Lynn Boeselager
- Jessica Kalee Bower
- Jaeann Marie Bradt
- Lisa A. Briggs
- Karen Broberg
- Bentley Brodrick
All providers in Chadron, NE · Professional Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.