William Glenn Bordelon, MA, LPC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

649 Issued in CO

Practice address

518 28 Rd
Ste B209
Grand Junction, CO 81501-6556

Phone

(970) 245-3212

Fax

(970) 245-3216

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• Monument Mental Health Services

  • Marriage & Family Therapist
  • Grand Junction, CO
  • NPI 1538149497
  NPD (past) Authorized official
• Center for Family Studies

  • Psychologist
  • Grand Junction, CO
  • NPI 1073523171
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1992784045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 28 RD",
            "address_2": "STE B209",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016556",
            "telephone_number": "970-245-3212",
            "fax_number": "970-245-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 28 RD",
            "address_2": "STE B209",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016556",
            "telephone_number": "970-245-3212",
            "fax_number": "970-245-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "WILLIAM",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Danaee Bonella, FNP
• Connie Ela Lupe Joy Billones Bongar, AGNP
• Susan Michelle Bonn, OTR
• Juanita Lynette Bonner, PHARMD, RPH, BCMTMS
• Taylor James Boone, NP-C
• Scott R Bordon, RPH
• Alison Lea Bormann, RN
• Molli Boruff
• Shannon Bostrom, M.S., CCC-SLP
• Jessica S. Botkin, B.A.

• Marriage & Family Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Marriage & Family Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.