Christina Bourguignon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006755 Issued in NY

Practice address

11794 State Route 9W Ste C
West Coxsackie, NY 12192-3602

Phone

(518) 461-0540

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Female

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empower Mental Health Counseling, PLLC

  • Mental Health Counselor
  • West Coxsackie, NY
  • NPI 1992661870
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1083449268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11794 STATE ROUTE 9W STE C",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121923602",
            "telephone_number": "518-461-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11794 STATE ROUTE 9W STE C",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121923602",
            "telephone_number": "518-461-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGUIGNON",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albany Medical College (Albany Med Emurgentcare)
• Albany Medical College (Albany Med Emurgentcare)
• Christopher Paul Barela, RPA-C
• Lauren Blaisdell, PA
• Emily Marie Coluccio, PA-C
• Columbia Memorial Hospital
• Cindy Coons
• Coxsackie Dental Arts PLLC
• Coxsakie Optical Inc.

• Mental Health Counselor in West Coxsackie, NY
• Providers in West Coxsackie, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.