Caitlin Adrianna Bourland, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC008254 Issued in GA

Practice address

4200 Northside Pkwy NW
Building 14, Suite 100
Atlanta, GA 30327-3007

Phone

(770) 726-9589

NPI assigned

Jul 19, 2022

Last updated

Jul 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1447985015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 HOSEA L WILLIAMS DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171701",
            "telephone_number": "478-973-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTHSIDE PKWY NW",
            "address_2": "BUILDING 14, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273007",
            "telephone_number": "770-726-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURLAND",
        "first_name": "CAITLIN",
        "middle_name": "ADRIANNA",
        "name_prefix": "Mrs.",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktor Bouquette, M.D.
• Andrei Petrovich Bourdeinyi, D.C.
• Denise Dorothy Bourg, PT
• Kristin Bourg, PA
• Debra Bourgeois, CCC-SLP
• Camryn Vega Bourne
• Cheryl Andrea Jackson Bourne
• Ebon Anthony Bourne, M.D.
• Lioudmila Bourova-Brazier, FNP
• Kevin Franklin Bourquine, P.A.

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.