Active NPI
Maureen Joan Bourke, LPC
- Professional Counselor
- Trafford, PA
National Provider Identifier
1750079398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015375
- Practice address
- 236 McWilliams Rd
Trafford, PA 15085-9769 - Phone
- (724) 840-3028
- NPI assigned
- May 1, 2023
- Last updated
- May 1, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC015375 | PA | Primary |
Addresses
Primary practice location
236 McWilliams Rd
Trafford, PA 15085-9769
Mailing address
236 McWilliams Rd
Trafford, PA 15085-9769
Phone (724) 840-3028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 2, 2024 through May 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC015375 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy M. McSparren, LLC | Past | Accepting new patients | |
| Kathleen C. Spadaro LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1750079398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 MCWILLIAMS RD",
"city": "TRAFFORD",
"state": "PA",
"postal_code": "150859769",
"telephone_number": "724-840-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 MCWILLIAMS RD",
"city": "TRAFFORD",
"state": "PA",
"postal_code": "150859769",
"telephone_number": "724-840-3028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURKE",
"first_name": "MAUREEN",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trafford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.