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MRS. ASHLYN BROOKE BORDELON M. ED, LPC
NPI 1164034294
Counselor - Mental Health in Columbia, SC

Active since August 19, 2020Opted out of Medicare · through May 7, 2027
455 SAINT ANDREWS RD STE D1, COLUMBIA, SC 29210(803) 638-4688 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Ashlyn Brooke Bordelon M. Ed, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ASHLYN BROOKE BORDELON M. ED, LPC (NPI 1164034294) is an individual mental health provider in Columbia, South Carolina, licensed in South Carolina (8397) and active in the NPI registry since August 2020. She has opted out of Medicare through May 7, 2027.

NPPES Registry Identity

NPI1164034294
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ASHLYN BROOKE BORDELONCredential: M. ED, LPC
Location Address455 SAINT ANDREWS RD STE D1Columbia, SC 29210-4488
Mailing Address455 Saint Andrews Rd Ste D1Columbia, SC 29210-4488 · (803) 638-4688
Phone(803) 638-4688
Sole ProprietorYes
Enumeration DateAugust 19, 2020
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1164034294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in SC · 8397✔ Licensed in SC · 7476
455 SAINT ANDREWS RD STE D1, Columbia, SC 29210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Ashlyn Brooke Bordelon M. Ed, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2025 through May 7, 2027.

Opt-Out Effective DateMay 7, 2025
Opt-Out In Effect ThroughMay 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashlyn Bordelon's NPI number?

The NPI number for Ashlyn Bordelon is 1164034294. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Ashlyn Bordelon located?

Ashlyn Bordelon practices at 455 Saint Andrews Rd Ste D1, Columbia, SC 29210. The listed phone number is (803) 638-4688.

What is Ashlyn Bordelon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ashlyn Bordelon enrolled in Medicare?

No. Ashlyn Bordelon has opted out of Medicare through May 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ashlyn Bordelon accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Ashlyn Bordelon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashlyn Bordelon was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.