Individual provider Active NPI

Danielle Abbey Bourgeon, MS, LAPC, CRC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1821815937
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC020630 Issued in PA
Practice address
100 S Broad St Ste 1930
Philadelphia, PA 19110-1025
Phone
(484) 380-5727
NPI assigned
Sep 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC020630 PA Primary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

100 S Broad St Ste 1930
Philadelphia, PA 19110-1025

Mailing address

100 S Broad St Ste 1930
Philadelphia, PA 19110-1025
Phone (484) 380-5727

Other practice location 1

3550 Darby Rd
Haverford, PA 19041-1018
Phone (484) 580-9213

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC000552PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Bourgeon Psychotherapy, PC Mental Health PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1821815937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101025",
            "telephone_number": "484-380-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 1930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101025",
            "telephone_number": "484-380-5727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Darby Rd",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411018",
            "country_code": "US",
            "telephone_number": "484-580-9213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGEON",
        "first_name": "DANIELLE",
        "middle_name": "ABBEY",
        "credential": "MS, LAPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC020630",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.