Mildred Borjas
Counselor • Pocatello, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mildred Borjas has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mildred Borjas was a registered Counselor practicing in Pocatello, ID. Throughout an active medical career spanning 13 years, Mildred Borjas provided care at the practice location at 2055 GARRETT WAY until profile deactivation on 2020-07-29.
Practice Location & Contact Primary Location
2055 Garrett Way
Suite 1
Pocatello, ID 832015100
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Pocatello, ID
Practicing in Pocatello, ID (507 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Counselor
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 29, 2020
NPI status registered as active in NPPES database
Registered at 2055 GARRETT WAY, SUITE 1, POCATELLO, ID 832015100 (Tel: 2082361600)
Registered at 808 N 8TH AVE, POCATELLO, ID 832015718 (Tel: 2082361600)
Recorded as MILDRED BORJAS
Counselor (License #LSW377 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
808 N 8th Ave
Pocatello, ID 832015718
Phone: 2082361600
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