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1922396530 NPI number — KIM M BORGES MA, LPC, LCADC

NPI Number: 1922396530
Health Care Provider/Practitioner: KIM M BORGES MA, LPC, LCADC

Information about “1922396530” NPI (KIM M BORGES MA, LPC, LCADC) exists in 1922396530 in HTML format HTML  |  1922396530 in plain Text format TXT  |  1922396530 in PDF (Portable Document Format) PDF  |  1922396530 in an XML format XML  formats.

NPI Number : 1922396530 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922396530",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BORGES",
    "FirstName": "KIM",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC, LCADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "33 SADDLE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESTERFIELD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08515-2919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-933-0800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1700 WHITEHORSE HAMILTON SQUARE RD STE B5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMILTON SQUARE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08690-3536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-933-0800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2011",
    "LastUpdateDate": "01/26/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "37LC00176600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "37PC00464800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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