Susan Gerda Borglum, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2820 Issued in AL

Practice address

16 Moulton St E
Decatur, AL 35601-2310

Phone

(256) 822-2375

NPI assigned

Jun 9, 2017

Last updated

Aug 2, 2022By the provider in NPPES

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

Enrolled in AL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Counseling & Consulting LLC

  • Professional Counselor
  • Decatur, AL
  • NPI 1295111557
  Medicare reassignment NPD

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1952830176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MOULTON ST E",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012310",
            "telephone_number": "256-822-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MOULTON ST E",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012310",
            "telephone_number": "256-822-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGLUM",
        "first_name": "SUSAN",
        "middle_name": "GERDA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Jane Bonar, CRNP
• Eranika Natasha Bonds, BSW
• Stephon Boone
• Almeda Borden, PHARMD
• Jessica Lynn Borden, PHARM.D.
• Annabelle Bothem
• Christina Louise Bott, MA
• Mitzi Bowe, RBT
• Earmon Wayne Bowman, CRNA
• Camalynn Boyanton

• Mental Health Counselor in Decatur, AL
• Providers in Decatur, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.