Active NPI
Kerri Borden, CC
- Counselor
- Lacey, WA
National Provider Identifier
1396430849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CL61401434
- Practice address
- 8440 52ND CT NE
Lacey, WA 98516-4544 - Phone
- (253) 335-2815
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CL61401434 | WA | Primary |
Addresses
Primary practice location
8440 52ND CT NE
Lacey, WA 98516-4544
Mailing address
8440 52ND CT NE
Lacey, WA 98516-4544
Phone (253) 335-2815
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CL61401434 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1396430849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 52ND CT NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985164544",
"telephone_number": "253-335-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 52ND CT NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985164544",
"telephone_number": "253-335-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEN",
"first_name": "KERRI",
"credential": "CC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CL61401434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.