Sydna Elizabeth Bougere, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10779 Issued in NC

Practice address

356 Charlotte Rd
Rutherfordton, NC 28139

Phone

(828) 287-7945

NPI assigned

Oct 21, 2008

Last updated

Jun 6, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Solid Foundations Counseling Center

  • Community/Behavioral Health Agency
  • Spindale, NC
  • NPI 1083046254
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1497907497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 CHARLOTTE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392916",
            "telephone_number": "828-287-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 CHARLOTTE RD",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-287-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W 29th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820012760",
            "country_code": "US",
            "telephone_number": "307-632-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGERE",
        "first_name": "SYDNA",
        "middle_name": "ELIZABETH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10779",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Eugene Blanton, DDS
• Stephen William Boffemmyer, CRNA
• Thomas Vance Bolling, M.D.
• Charles Dana Bond, M.D.
• Dawn Godfrey Bostic, NP-C
• Wesley Scott Braden, DACM, L.AC.
• Kathy Brock, LCSWA
• Natalie Elizabeth Bublitz, MD
• Megan Moore Bumgarner, FNP-C
• Tiffany Bush, LCAS

• Mental Health Counselor in Rutherfordton, NC
• Providers in Rutherfordton, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.