NPIMap

Organization Active NPI

Mark a Borland

Doing business as Millcreek Counseling Associates

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1487124723
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARK A BORLAND
Doing business as
Millcreek Counseling Associates
Practice address
1738 W 8TH St
Erie, PA 16505-5024
Phone
(814) 722-7467
Fax
(814) 836-8194
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Dr. Mark A BorlandNPI 1295145795
Title
Owner
Phone
(814) 722-7467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1738 W 8TH St
Erie, PA 16505-5024

Mailing address

6911 Water St
Fairview, PA 16415-2005
Phone (814) 722-7467

Other practice location 1

4380 W 12th St Ste 3
Erie, PA 16505-3028
Phone (814) 722-7467

Other identifiers 4

IdentifierTypeStateIssuer
$$$$$$$$$OtherPASOCIAL SECURITY
1029517440001OtherPAPROMISE ID
1295145795OtherPANPI
12686599OtherPACAQH

Other names 1

  • Millcreek Counseling Associates Doing business as

National Provider Directory

National Provider Directory

Locations

4380 W 12th St
Ste 3
Erie, PA 16505
Phone (814) 392-9829

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1487124723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 WATER ST",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164152005",
            "telephone_number": "814-722-7467",
            "fax_number": "814-836-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055024",
            "telephone_number": "814-722-7467",
            "fax_number": "814-836-8194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4380 W 12th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165053028",
            "country_code": "US",
            "telephone_number": "814-722-7467",
            "fax_number": "814-836-8194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK A BORLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "BORLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-722-7467",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "1029517440001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295145795",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12686599",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcreek Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Millcreek Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.