Individual provider Active NPI

Dana Pebble Borremans, LPC

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1184739807
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13508 Issued in TX
Practice address
1205 Hwy 123, Suite 303
San Marcos, TX 78666-7756
Phone
(512) 353-0483
Fax
(512) 353-3725
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13508 TX
Professional Counselor 101YP2500X 13508 TX Primary

Addresses

Primary practice location

1205 Hwy 123, Suite 303
San Marcos, TX 78666-7756

Mailing address

1205 Hwy 123, Suite 303
San Marcos, TX 78666-7756
Phone (512) 353-0483

Other identifiers 2

IdentifierTypeStateIssuer
5079LCOtherTXBLUE CROSS BLUE SHIELD
028018201MedicaidTX

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1184739807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 HWY 123, SUITE 303",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667756",
            "telephone_number": "512-353-0483",
            "fax_number": "512-353-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HWY 123, SUITE 303",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667756",
            "telephone_number": "512-353-0483",
            "fax_number": "512-353-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREMANS",
        "first_name": "DANA",
        "middle_name": "PEBBLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "13508",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5079LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028018201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.