Kristina Bourgoin, LMFT, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KRISTINA BOURGOIN, LMFT, LLC

Practice address

241 Dresser Hill Rd
Dudley, MA 01571-6328

Phone

(603) 505-0326

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kristina Michelle Bourgoin, LMFTNPI 1396278784

Title

Owner

Phone

(603) 505-0326

Specialties & licenses 2

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Bourgoin, LMFT

  • Marriage & Family Therapist
  • Dudley, MA
  • NPI 1396278784

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1295514008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DRESSER HILL RD",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015716328",
            "telephone_number": "603-505-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 DRESSER HILL RD",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015716328",
            "telephone_number": "603-505-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA BOURGOIN, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "BOURGOIN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-505-0326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Kielinen
• Tatiana King, MSW, LICSW
• George Knight
• Magda Komosinska
• Madison Koneczny
• Life-Skills, Inc.
• Jason M Luciano, PHD
• Patricia E Mackay
• Erynn Patricia Marshall
• Peris Kirigo Mbachi, PMHNP

• All providers in Dudley, MA
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.