Individual provider Active NPI

Nathan Borr, MFT

  • Counselor
  • Brooklyn, NY
National Provider Identifier
1639713845
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone
(718) 787-1600
NPI assigned
Oct 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1955 McDonald Ave
Brooklyn, NY 11223-1805

Mailing address

1955 McDonald Ave
Brooklyn, NY 11223-1805

Other names 1

  • Nissan Borr Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nissan Borr LMFT Current Accepting new patients
Nissan Borr LMFT PLLC CurrentSince Apr 14, 2024 Accepting new patients
SBH Community Service Network, Inc. CurrentSince Nov 3, 2019 Accepting new patients

Locations

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

15025 Union Tpke
Flushing, NY 11367
Phone (347) 762-5591

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1639713845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORR",
        "first_name": "NATHAN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISSAN",
            "last_name": "BORR",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.