NPIMap

Organization Active NPI

Counseling and Psychological Services of Three Rivers P.C.

  • Clinical Social Worker
  • Three Rivers, MI
National Provider Identifier
1699712588
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065751 Issued in MI
Legal business name
COUNSELING AND PSYCHOLOGICAL SERVICES OF THREE RIVERS P.C.
Practice address
30 N Main St
Three Rivers, MI 49093-1532
Phone
(269) 278-2003
Fax
(269) 278-1507
NPI assigned
Jun 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Mary Lou Borgert, PH.D.NPI 1093827180
Title
President /Secretary
Phone
(269) 278-2003

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301008346 MI
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801065751 MI Primary

Addresses

Primary practice location

30 N Main St
Three Rivers, MI 49093-1532

Mailing address

30 N Main St
Three Rivers, MI 49093-1532
Phone (269) 278-2003

National Provider Directory

National Provider Directory

Locations

30 N Main St
Three Rivers, MI 49093
Phone (269) 278-2003

Practitioners & affiliated clinicians

Practitioners 2

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699712588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931532",
            "telephone_number": "269-278-2003",
            "fax_number": "269-278-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490931532",
            "telephone_number": "269-278-2003",
            "fax_number": "269-278-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND PSYCHOLOGICAL SERVICES OF THREE RIVERS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BORGERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT /SECRETARY",
        "authorized_official_telephone_number": "269-278-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008346",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.