Active NPI
Brooke Bordic, MA, LPCA
- Mental Health Counselor
- Georgetown, TX
National Provider Identifier
1285314666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 91928
- Practice address
- 1612 Williams Dr
Georgetown, TX 78628-3660 - Phone
- (512) 521-4652
- Fax
- (877) 339-8367
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 91928 | TX | Primary |
Addresses
Primary practice location
1612 Williams Dr
Georgetown, TX 78628-3660
Mailing address
1615 Somerset Canyon LN
Cedar Park, TX 78613-1469
Phone (512) 468-2474
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91928 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1285314666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 SOMERSET CANYON LN",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786131469",
"telephone_number": "512-468-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 WILLIAMS DR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283660",
"telephone_number": "512-521-4652",
"fax_number": "877-339-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDIC",
"first_name": "BROOKE",
"credential": "MA, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "91928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.