Active NPI
Meaghan Danielle Bourque, LPC
- Mental Health Counselor
- Bessemer, AL
National Provider Identifier
1689263378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3613
- Practice address
- 3250 Virginia Dr
Bessemer, AL 35023-5784 - Phone
- (850) 382-5525
- NPI assigned
- Jan 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3613 | AL | Primary |
Addresses
Primary practice location
3250 Virginia Dr
Bessemer, AL 35023-5784
Mailing address
3250 Virginia Dr
Bessemer, AL 35023-5784
Phone (850) 382-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610755200000",
"number": "1689263378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 VIRGINIA DR",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350235784",
"telephone_number": "850-382-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 VIRGINIA DR",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350235784",
"telephone_number": "850-382-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURQUE",
"first_name": "MEAGHAN",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-16",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "3613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.