Active NPI
Jessica Bordas
- Professional Counselor
- Princeton, NJ
National Provider Identifier
1508459405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00621200
- Practice address
- 812 State Rd Ste 223
Princeton, NJ 08540-1400 - Phone
- (609) 200-0223
- NPI assigned
- Feb 11, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00621200 | NJ | Primary |
Addresses
Primary practice location
812 State Rd Ste 223
Princeton, NJ 08540-1400
Mailing address
322 Spring Hill Rd
Skillman, NJ 08558-1423
Phone (609) 915-6333
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Minds LLC | Current | Accepting new patients |
Locations
812 State Rd
Ste 223
Princeton, NJ 08540
Phone (609) 200-0223
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Princeton, NJ
- NPI 1679166433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677369600000",
"number": "1508459405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 SPRING HILL RD",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085581423",
"telephone_number": "609-915-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 STATE RD STE 223",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085401400",
"telephone_number": "609-200-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDAS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2023-02-26",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00621200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.