MS. BARBARA L BOURGEOIS (NPI# 1568738086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568738086 |
| Entity Type | Individual |
| Full Name | MS. BARBARA L BOURGEOIS |
| Credential | N.C.C. |
| Practice Address |
402 E Main St Waterbury CT 06702-1701 |
| Mailing Address |
141 E Main St 4th Floor Administration Waterbury CT 06702-2310 |
| Practice Telephone | 2037551143 |
| Practice Fax Number | 2037533274 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2514 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008050702 | 05 | |
| CT | NATIONAL BOARD FOR CERTIFIED COUNSELORS | NCC#289601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379984 | Barbara Bourgeois | Technician | 6128 W Sahara Ave, Las Vegas, NV 89146-3051 | 2019-04-25 |
| Street Address |
402 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743469 | Alisha Sanders | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-09-04 |
| 1275147472 | Cody Helgesen | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-09-04 |
| 1952913006 | Christine Cagle | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-08-20 |
| 1518579804 | George Ramos | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-08-19 |
| 1083237861 | Shalima Abdalla | Physician Assistant | 402 E Main St, Waterbury, CT 06702-1701 | 2020-05-27 |
| 1295360469 | Yvette Bonilla | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-03-09 |
| 1730714270 | Bryam Silva | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-03-05 |
| 1396379665 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-26 |
| 1972135143 | Geovanny Gallegos | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-06 |
| 1821630211 | Leskia Vazquez | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1902426232 | Jesse D Miller | Counselor | 62 Newton Ter, Waterbury, CT 06708-1919 | 2020-04-16 |
| 1770116832 | Laurie Joy Sharp | Counselor | Mindscapes Counseling LLC, 230 Frost Rd, Waterbury, CT 06705-2154 | 2020-02-18 |
| 1124658489 | Elaina Nicole Layden | Counselor | 276 Highland Ave Ste 2n, Waterbury, CT 06708-3022 | 2020-01-24 |
| 1063054666 | Malina Yuna Choi | Counselor | 255 Bank St Fl 4, Waterbury, CT 06702-2219 | 2019-10-15 |
| 1093205692 | Footsteps LLC | Counselor | 1059 Huntingdon Ave, Waterbury, CT 06704-1402 | 2018-05-18 |
| 1316486889 | Cornerstone Counseling Center | Counselor | 106 Deepwood Dr, Waterbury, CT 06708-2907 | 2017-02-16 |
| 1356886014 | Kathryn Gelinas | Counselor | 60 N Main St Fl 3, Waterbury, CT 06702-1444 | 2017-01-04 |
| 1376901124 | Jesse Mancinone | Counselor | 55 Waterville St, Waterbury, CT 06710-1846 | 2016-02-08 |
| 1356742662 | Waleska Castillo | Counselor | 672 Wilson St, Waterbury, CT 06708-4131 | 2014-09-07 |
| Find all providers in WATERBURY | ||||
Please comment or provide details below to improve the information on MS. BARBARA L BOURGEOIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.