Jennifer A Bourque

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

008552 Issued in NY

Practice address

18 Computer Dr E Ste 105
Albany, NY 12205-1290

Phone

(518) 818-0053

NPI assigned

Jan 5, 2026

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

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech & Swallowing Solutions of the Capital Region LLC

  • Speech-Language Pathologist
  • Albany, NY
  • NPI 1972374387
  Medicare reassignment NPD
• Speech & Swallowing Services PLLC

  • Speech-Language Pathologist
  • Albany, NY
  • NPI 1750217550
  NPD

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1588520449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 MAPLE ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093732",
            "telephone_number": "518-207-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COMPUTER DR E STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051290",
            "telephone_number": "518-818-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mateo Boulos
• Danielle Marie Bourgeois, MS OTR/L
• Robert Gibson Bourgeois
• Amanda Bourne, PA-C
• Cynthia A. Bourne, CRNA
• Chenique L Boutelle, LCSW
• Ronald Boutin, PHARM D
• John Bova
• Maria Bove
• Kari Bovenzi, M.D.

• Speech-Language Pathologist in Albany, NY
• Providers in Albany, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.