John Raymond Borella, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC008491 Issued in PA

Practice address

1005 W 9TH Ave Ste B
King of Prussia, PA 19406-1202

Phone

(610) 892-3800

Fax

(484) 704-7198

NPI assigned

Mar 4, 2013

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.johnborella@141748.advancedmd-direct.com

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.

• Delaware County Professional Services, Inc

  dba LifeStance

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864
  Medicare reassignment Care Compare group NPD
• Jutta Vogt PC

  dba Behavioral Health Choices

  • Child & Adolescent Psychiatry Physician
  • King of Prussia, PA
  • NPI 1134540172
  NPD

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1851632608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W 9TH AVE STE B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061202",
            "telephone_number": "610-892-3800",
            "fax_number": "484-704-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W 9TH AVE STE B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061202",
            "telephone_number": "610-892-3800",
            "fax_number": "484-704-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELLA",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC008491",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Blue, BCBA
• Kara Blue
• Amy L Bobb, LCSW
• Ashley Bolig
• Kristen Rose Boonie
• Boston Brace International Inc. (OP Specialty Bracing)
• Giovanna Bova
• Dawn Marie Bower, M.ED., LPC
• Brittany Mae Bowman, COTA/L
• Takiya Boyd, CRNP

• Mental Health Counselor in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.