David Lynn Bourne, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1803032 Issued in AR

Practice address

3017 S 70TH St Ste G
Fort Smith, AR 72903-5000

Phone

(479) 210-2146

Fax

(479) 222-6895

NPI assigned

Jan 13, 2010

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DB PLLC

  • Mental Health Counselor
  • Fort Smith, AR
  • NPI 1710756127
  NPD Authorized official
• Lequita J. Joyce Inc

  dba Roland Family Counseling Center

  • Mental Health Counselor
  • Roland, OK
  • NPI 1255491494
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1669702643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 S 70TH ST STE G",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035000",
            "telephone_number": "479-210-2146",
            "fax_number": "479-222-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 S 70TH ST STE G",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035000",
            "telephone_number": "479-210-2146",
            "fax_number": "479-222-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "DAVID",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4216",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1803032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Borengasser Family Dental, PLLC
• James Wesley Borengasser, D.D.S.
• Alexandria Boss
• Bost, Inc. (Bost C.A.R.E.S.)
• Memory Boucher, MS, BA, ADC
• Audra Bowen
• Emily Chloe Bower, CF-SLP
• Charles Bowers, PA-S
• John Russell Bowers, DO
• Brandi Bowling, QBHP

• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.