Carly Borchardt

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APCC23895 Issued in CA

Practice address

20101 SW Birch St Ste 240
Newport Beach, CA 92660-1769

Phone

(323) 607-3899

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By 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

State licenses

Practice roles

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.

• Rising Tide Mental Wellness a Marriage & Family Therapy Corporat

  dba Rising Tide Mental Wellness

  • Adolescent and Children Mental Health Clinic/Center
  • Newport Beach, CA
  • NPI 1235024159
  NPD (past)

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1184528804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BAKER ST UNIT 228",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601769",
            "telephone_number": "323-607-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "APCC23895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie V. Bock MD
• Emily Jean Napolitano Boone, MD
• Kathleen Boos, MD
• Michelle Lynne Booth, FNP
• Thomas Alan Boragno, PHARM D
• Deborah Ann Bordwell, FNP
• Alysia Christina Borgman, DDS
• Boris M. Ackerman, M.D. PC (Newport Beach Laser and Plastic Surgery Center)
• Bosler Longevity Health & Chiropractic Inc (Longevity Health)
• Taylor Botello

• Counselor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.