Melinda Sue Borgman, CRM

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10763 SW Greenburg Rd
Tigard, OR 97223-5492

Phone

(503) 684-8159

Fax

(503) 598-0934

NPI assigned

Mar 2, 2018

Last updated

Aug 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Allied Health Services

  • Addiction (Substance Use Disorder) Counselor
  • Tigard, OR
  • NPI 1831736255
  NPD

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1164924478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 SE 85TH",
            "address_2": "312",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-621-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10763 SW GREENBURG RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235492",
            "telephone_number": "503-684-8159",
            "fax_number": "503-598-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGMAN",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "CRM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bonilla, MS, CCC-SLP
• Sage H Bonnee
• Nicole Sue Bontty
• Rachel Anne Bookless
• Jittra Boonnim, LMT
• Stephen Born, PT
• Joseph Paul Borow, CRM/PSS
• Rachel M Borton-Monaghan
• Lucia A Botez
• Mikaylah M Bouchard

• Mental Health Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.