Jaclyn Borgia

Individual provider Active NPI Mental Health Counselor · Warminster, PA

NPI 1962851857 · NPPES record last updated Jun 26, 2016

Key facts

NPI
1962851857
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1210 Old York Rd
#202
Warminster, PA 18974-2013
Phone
(215) 444-9204
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyland Counseling Center, Inc. Past
since Jul 6, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1210 Old York Rd
#202
Warminster, PA 18974-2013

Mailing address

1210 Old York Rd
#202
Warminster, PA 18974-2013

Other providers in Warminster, PA

All providers in Warminster, PA · Mental Health Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.