Individual provider Active NPI

Glori Borges, M.A., LMHC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1144509522
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12787 Issued in FL
Practice address
260 Applewood Cir
Melbourne, FL 32940-7701
Phone
(321) 848-6115
NPI assigned
Aug 16, 2011
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 LMHC 12787 FL
Mental Health Counselor 101YM0800X MH12787 FL Primary

Addresses

Primary practice location

260 Applewood Cir
Melbourne, FL 32940-7701

Mailing address

260 Applewood Cir
Melbourne, FL 32940-7701
Phone (321) 848-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130001535 FL Practitioner - Mental Health Counselor 7517315633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Counseling LLCGroup PAC ID 6305230137, 4 clinicians

Practice addresses (Care Compare)

1370 Bedford Dr
Suite 102
Melbourne, FL 32940-1993
Phone (321) 622-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMHC 12787FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Foundations Counseling, LLC. CurrentSince Jan 1, 2014 Accepting new patients

Locations

1299 Bedford Dr
Melbourne, FL 32940
Phone (321) 622-8104

1299 Bedford Dr
Ste B2
Melbourne, FL 32940
Phone (321) 537-6034

1370 Bedford Dr
Ste 102
Melbourne, FL 32940
Phone (321) 622-8104

Interoperability endpoints

  • Direct secure messaging: glorimarborges@tdh.allscriptsdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1144509522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 APPLEWOOD CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407701",
            "telephone_number": "321-848-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 APPLEWOOD CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407701",
            "telephone_number": "321-848-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "GLORI",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 12787",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.