David Borek, LPC, LCADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00521100 Issued in NJ

Practice address

105 Evesboro Medford Rd
Suite M
Marlton, NJ 08053-3865

Phone

(609) 353-5608

Fax

(609) 798-0092

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436572800000",
    "number": "1184053738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-353-5608",
            "fax_number": "609-798-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-353-5608",
            "fax_number": "609-798-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREK",
        "first_name": "DAVID",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00521100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00228000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharnessa Bond
• Melba Patricia Bonelli, DMD
• Bruce Bonier, DO
• William James Bonney, M.D.
• Jennifer Lee Bordner
• Shivani Malhotra Borhara, MFT
• Walter Boris, DO
• Charles N. Borromeo, MED, ATC
• Alexa Borrows, MS, LAC, NCC
• Boston Brace International Inc.

• Professional Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; 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.