Individual provider Active NPI

Laurel Borrel

  • Mental Health Counselor
  • Henrico, VA
National Provider Identifier
1710423116
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4652416922 Issued in VA
Practice address
2817 N Parham Rd
Suite 211
Henrico, VA 23294-4411
Phone
(804) 658-5930
Fax
(804) 658-5404
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2574-03-001 VA
Mental Health Counselor 101YM0800X 4652416922 VA Primary

Addresses

Primary practice location

2817 N Parham Rd
Suite 211
Henrico, VA 23294-4411

Mailing address

2817 N Parham Rd
Suite 211
Henrico, VA 23294-4411
Phone (804) 658-5930

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
Personal Solutions Counseling Services, LLC Community/Behavioral Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1710423116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 N PARHAM RD",
            "address_2": "SUITE 211",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944411",
            "telephone_number": "804-658-5930",
            "fax_number": "804-658-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 N PARHAM RD",
            "address_2": "SUITE 211",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944411",
            "telephone_number": "804-658-5930",
            "fax_number": "804-658-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREL",
        "first_name": "LAUREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2574-03-001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "4652416922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.