Kristi Bourgeois

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1823 Issued in LA

Practice address

855 Saint Ferdinand St
Baton Rouge, LA 70802-6453

Phone

(225) 336-0000

Fax

(225) 336-0522

NPI assigned

Aug 12, 2016

Last updated

Aug 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Louisiana Industries for the Disabled, Inc.

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1609142033
  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1831643311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 BEAUMONT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061410",
            "telephone_number": "225-928-1400",
            "fax_number": "225-928-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAINT FERDINAND ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708026453",
            "telephone_number": "225-336-0000",
            "fax_number": "225-336-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "KRISTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600747398",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwayne Paul Bourgeois
• Garrett Anthony Bourgeois
• Jenna Martin Bourgeois, M.D.
• John Thomas Bourgeois, RN, RNFA
• Jolie Caroline Bourgeois, M.D.
• Raylie Kay Bourgeois, BS, SLP-A
• Shelley Babin Bourgeois, NP
• Tamyra F Bourgeois, PH.D, LPC
• Tiffany Moore Bourgeois, MD
• Victoria Christine Bone Bourgeois, MD

• Mental Health Counselor in Baton Rouge, LA
• Providers in Baton Rouge, 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 Aug 12, 2016; 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.