Tricia Sullivan Borelli, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

00342 Issued in IA

Practice address

2728 Asbury Rd
Dubuque, IA 52001-2971

Phone

(563) 556-9642

NPI assigned

Mar 31, 2006

Last updated

Nov 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1760443535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 DAVID DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022905",
            "telephone_number": "563-213-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012971",
            "telephone_number": "563-556-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELLI",
        "first_name": "TRICIA",
        "middle_name": "SULLIVAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "00342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Bojar
• Daniel L. Bolgren, D.D.S
• Rebekah Sue Bond, M.D.
• Bethann Bonner, M.D.
• Carrie K Borchardt, DDS
• Allison Bormann
• Abigail N. Bottorff, TLMHC, MA COUNSELING
• Richelle C Bouska, MHC
• Madison Faye Bowers
• Timothy L Bowers, M.D.

• Counselor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.