Laura A Valdes Borsum, MS, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC12256 Issued in MD

Practice address

2609 Island Grove Blvd
Frederick, MD 21701-3313

Phone

(240) 422-3966

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By 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

Other names 1

• Ms. Laura A Valdes-Borsum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1346997087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 ISLAND GROVE BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013313",
            "telephone_number": "240-422-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 ISLAND GROVE BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013313",
            "telephone_number": "240-422-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES BORSUM",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "VALDES-BORSUM",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "MS, MA, LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.