Mary Clinard Borge, MA,LPC,NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.014136 Issued in IL

Practice address

1616 E Roosevelt Rd Ste 8
Wheaton, IL 60187-6850

Phone

(630) 588-1201

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Stenzel Clinical Services LTD

  • Counselor
  • Wheaton, IL
  • NPI 1912079062
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1760966816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E ROOSEVELT RD STE 8",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876850",
            "telephone_number": "630-588-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E ROOSEVELT RD STE 8",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876850",
            "telephone_number": "630-588-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Iroquois Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638542",
            "country_code": "US",
            "telephone_number": "630-588-1201 x328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORGE",
        "first_name": "MARY",
        "middle_name": "CLINARD",
        "name_prefix": "Mrs.",
        "credential": "MA,LPC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.014136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Rohde Bongiorno, PH.D.
• Delali Bonsi
• Juliette Francoise Borchers
• Nicholas D. Borchers, PA-C
• Katie M Borchert, ND, LAC
• John R Born, DO
• Dimitriyka Trendafilova Bors
• Beth E Bosak, OTR/L
• Lauren Bose, LCSW
• Laura A Bosken, DPT

• Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.