JACOB RYAN BORGE M.A. LPC NPI 1982473161

NPI Information

  • NPI: 1982473161
  • Provider Name: JACOB RYAN BORGE, M.A., LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3100 DUNDEE RD STE 101
    NORTHBROOK, IL
    ZIP 60062
  • Phone: (847) 919-9096

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NPI Details

Jacob Ryan Borge, M.A., LPC is a mental health counselor in Northbrook, IL. Jacob Ryan Borge, M.A., LPC NPI is 1982473161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3100 DUNDEE RD STE 101
NORTHBROOK, IL
ZIP 60062-462
Phone: (847) 919-9096

The enumeration date for this NPI number is 12/28/2023 and was last updated on 12/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health178.019722ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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