Individual provider Active NPI

Joshua Bourgeois, M.ED., PLPC, NCC

  • Mental Health Counselor
  • Belle Chasse, LA
National Provider Identifier
1184090425
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PLPC#5876 Issued in LA
Practice address
115 Keating Dr
Belle Chasse, LA 70037-1629
Phone
(504) 393-5750
Fax
(504) 393-5760
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PLPC#5876 LA Primary

Addresses

Primary practice location

115 Keating Dr
Belle Chasse, LA 70037-1629

Mailing address

115 Keating Dr
Belle Chasse, LA 70037-1629
Phone (504) 393-5750

Other identifiers 1

IdentifierTypeStateIssuer
PLPC #5876OtherLALPC BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PLPC#5876LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Plaquemines Community C.a.R.E. Centers Foundation, Inc. Mental Health Past Accepting new patients
Plaquemines Community Care Center Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1184090425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KEATING DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371629",
            "telephone_number": "504-393-5750",
            "fax_number": "504-393-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KEATING DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371629",
            "telephone_number": "504-393-5750",
            "fax_number": "504-393-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "JOSHUA",
        "credential": "M.ED., PLPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLPC#5876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC BOARD",
            "identifier": "PLPC #5876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.