Sydna Elizabeth Bougere, LCMHC
Individual provider Active NPI Mental Health Counselor · Rutherfordton, NC
NPI 1497907497 · NPPES record last updated Jun 6, 2022
Key facts
- NPI
- 1497907497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 10779 (NC)
- Practice address
- 356 Charlotte Rd
Rutherfordton, NC 28139 - Phone
- (828) 287-7945
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10779 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solid Foundations Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10779 | NC | |
| Mental Health Counselor | 101YM0800X | 10779 | NC | Yes |
Addresses
Primary practice location
356 Charlotte Rd
Rutherfordton, NC 28139
Mailing address
356 Charlotte Rd
Rutherfordton, NC 28139-2916
Phone (828) 287-7945
Other practice location 1
510 W 29th St
Cheyenne, WY 82001-2760
Phone (307) 632-9362
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10779 | Other | NC | LICENSE |
Other providers in Rutherfordton, NC
- Samuel Eugene Blanton
- Stephen William Boffemmyer
- Thomas Vance Bolling
- Charles Dana Bond
- Dawn Godfrey Bostic
- Wesley Scott Braden
- Kathy Brock
- Natalie Elizabeth Bublitz
- Megan Moore Bumgarner
- Tiffany Bush
All providers in Rutherfordton, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.