Michael John Bourque Jr., MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9136 Issued in LA

Practice address

1719 Oakley CT Apt 8
Thibodaux, LA 70301-4449

Phone

(337) 322-5894

NPI assigned

Jan 27, 2026

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Outlier'S Counseling Services

  • Professional Counselor
  • Thibodaux, LA
  • NPI 1184575193
  NPD Authorized official

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1831048305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 OAKLEY CT APT 8",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 OAKLEY CT APT 8",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014449",
            "telephone_number": "337-322-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Michael Bourgeois, MD
• Elizabeth D Bourgeois, DSW, LMSW
• Gretchen Percle Bourgeois, LCSW
• Lorraine Bourgeois, RN
• Nicole Orgeron Bourgeois, PA-C
• Scotty Austin Bouzigard
• Michele Rogers Bower, PT
• Jada Boyd, BS
• Kentrell Boyd
• Carmen Brand, BA

• Mental Health Counselor in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Mental Health Counselor in Louisiana

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