Active NPI
Grace Joan Borneman
- Counselor
- Souderton, PA
National Provider Identifier
1982558607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC017448
- Practice address
- 31 W Chestnut St Apt 2
Souderton, PA 18964-1774 - Phone
- (267) 371-0534
- NPI assigned
- Feb 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC017448 | PA | Primary |
Addresses
Primary practice location
31 W Chestnut St Apt 2
Souderton, PA 18964-1774
Mailing address
31 W Chestnut St Apt 2
Souderton, PA 18964-1774
Phone (267) 371-0534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017448 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771632000000",
"number": "1982558607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W CHESTNUT ST APT 2",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189641774",
"telephone_number": "267-371-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 W CHESTNUT ST APT 2",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189641774",
"telephone_number": "267-371-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNEMAN",
"first_name": "GRACE",
"middle_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-21",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC017448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Souderton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.