Jacob Ryan Borge, M.A., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.019722 Issued in IL

Practice address

3100 Dundee Rd Ste 101
Northbrook, IL 60062-2462

Phone

(847) 919-9096

NPI assigned

Dec 28, 2023

Sex

Male

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

Credentials

Master of Arts

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.

• Inspire Counseling Center, LLC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1295289726
  NPD

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1982473161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 N RACINE AVE APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405661",
            "telephone_number": "701-205-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622462",
            "telephone_number": "847-919-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGE",
        "first_name": "JACOB",
        "middle_name": "RYAN",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.019722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Bonitati
• Toni L Boos, PSYD
• Jennilyn Boquiron
• Claire Borbath
• Patricia Bordon
• Abbie Borgstrom
• Kaylee Bothom
• Ivona Bousheh
• William Lee Boushie, PT
• Ariana Boutain, BCBA-D

• Mental Health Counselor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.