Thabatha Borer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00792100 Issued in NJ

Practice address

350 W Passaic St
Rochelle Park, NJ 07662-3073

Phone

(201) 822-1232

NPI assigned

Oct 12, 2021

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

State licenses

Practice roles

Locations

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.

• Progressive Wellness & Therapy Group of New Jersey LLC

  • Professional Counselor
  • Rochelle Park, NJ
  • NPI 1811602014
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1922760313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 DEVON ST",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623073",
            "telephone_number": "201-822-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORER",
        "first_name": "THABATHA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00792100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen County PT and Associates, LLC
• Bergen Dental and Specialties LLC
• Bergen Reconstructive Foot & Ankle Specialists LLC
• Peter Bruce Berger, D.D.S.
• Paratee Blevins
• Jacqueline Rose Braun
• Breath & Lung Physicians, PA
• Nivioska Bruce, LPC
• Basil Bruno, M.D.
• Cavan Joseph Burke, PT, DPT

• Professional Counselor in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.