Douglas Borell Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DOUGLAS BORELL COUNSELING SERVICES LLC

Practice address

6450 Weatherfield CT
Ste 1B
Maumee, OH 43537-9149

Phone

(419) 866-2830

Fax

(419) 866-2831

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Rachelle Anne Douglas-Borell, LPCC-S, LICDCNPI 1699781856

Title

President/Owner

Phone

(419) 866-2830

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachelle Anne Douglas-Borell, LPCC-S

  • Professional Counselor
  • Maumee, OH
  • NPI 1699781856
  Medicare reassignment NPD Authorized official
• Dawn M Rogers, LPCC-S

  • Professional Counselor
  • Maumee, OH
  • NPI 1487893657
  NPD
• Lurley John Archambeau, MD

  • Specialist
  • Maumee, OH
  • NPI 1376529768
  NPD (past)

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1508587601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 WEATHERFIELD CT",
            "address_2": "STE 1B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379149",
            "telephone_number": "419-866-2830",
            "fax_number": "419-866-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 WEATHERFIELD CT",
            "address_2": "STE 1B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379149",
            "telephone_number": "419-866-2830",
            "fax_number": "419-866-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS BORELL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-01-29",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS-BORELL",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "419-866-2830",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458498",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Maumee, OH
• Providers in Maumee, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.