Individual provider Active NPI

Elyse Bordes

  • Mental Health Counselor
  • Cherry Hill, NJ
National Provider Identifier
1154682102
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00762900 Issued in NJ
Practice address
1500 Kings Hwy N Ste B204
Cherry Hill, NJ 08034-2304
Phone
(609) 534-0219
NPI assigned
Jun 6, 2012
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00762900 NJ Primary

Addresses

Primary practice location

1500 Kings Hwy N Ste B204
Cherry Hill, NJ 08034-2304

Mailing address

1544 Merchantville Ave
Pennsauken, NJ 08110-2835

Other practice location 1

1930 Route 70 E Ste N72
Cherry Hill, NJ 08003-4203
Phone (856) 685-7186

Other practice location 2

200 Davistown Rd
Blackwood, NJ 08012-9998
Phone (856) 875-5335

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

State licenses

LicenseStateTypeSpecialty
37AC00762900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Center LLC PastSince Oct 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1154682102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 MERCHANTVILLE AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081102835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 KINGS HWY N STE B204",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "609-534-0219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Route 70 E Ste N72",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080034203",
            "country_code": "US",
            "telephone_number": "856-685-7186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Davistown Rd",
            "address_purpose": "LOCATION",
            "city": "Blackwood",
            "state": "NJ",
            "postal_code": "080129998",
            "country_code": "US",
            "telephone_number": "856-875-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDES",
        "first_name": "ELYSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00762900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.