Kelsey Ann Bourn

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

407 E 2ND Ave Ste 250
Spokane, WA 99202-1439

Phone

(509) 315-9776

NPI assigned

Dec 12, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1578222089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 2ND AVE STE 250",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 2ND AVE STE 250",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021439",
            "telephone_number": "509-315-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURN",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Boulet, MD
• Bruce A Bouma, M.D.
• Bourget Health Services Inc
• Bourget Health Services Inc
• Kristina Bourget, CDP
• Katie Bourus
• Alejah Unique Bousley
• Leslee Bouttu, LMP
• Raimee Bouvette
• William Michael Bouvier, LMT

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.