Individual provider Active NPI

Caitlin Borges, LCSW-PIP

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1780247122
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4862 Issued in SD
Practice address
1601 E 69TH St Ste 205
Sioux Falls, SD 57108-8322
Phone
(605) 271-3575
NPI assigned
Apr 22, 2019
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4862 SD
Mental Health Counselor 101YM0800X 4862 SD Primary

Addresses

Primary practice location

1601 E 69TH St Ste 205
Sioux Falls, SD 57108-8322

Mailing address

1601 E 69TH St Ste 205
Sioux Falls, SD 57108-8322
Phone (605) 271-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 7, 2020 through Jul 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4862SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Amani Counseling, LLC Clinical CurrentSince Feb 13, 2022 Accepting new patients
Encompass Mental Health, LLC Mental Health CurrentSince May 17, 2020 Accepting new patients
North American Baptist Seminary Past Accepting new patients
North American Baptist Seminary Past Accepting new patients

Locations

1601 E 69th St
Ste 205
Sioux Falls, SD 57108
Phone (605) 271-3575

5000 S Minnesota Ave
Ste 400
Sioux Falls, SD 57108
Phone (605) 275-0009

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1780247122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 205",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-271-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 69TH ST STE 205",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088322",
            "telephone_number": "605-271-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "CAITLIN",
        "credential": "LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "4862",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.