JENNIFER BOURQUIN (NPI# 1790062875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790062875 |
| Entity Type | Individual |
| Full Name | JENNIFER BOURQUIN |
| Credential | LPC |
| Practice Address |
717 Chestnut St Bastrop TX 78602-3202 |
| Mailing Address |
9017 Laurel Grove Dr. Austin TX 78758 |
| Practice Telephone | 5127720775 |
| Mailing Telephone | 5126122361 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
65653 | TX | Behavioral Health & Social Service Providers |
| Street Address |
717 CHESTNUT ST |
| City | BASTROP |
| State | TX |
| Zip Code | 78602-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912243684 | Ellyn Margaret Eisenberg | Counselor | 717 Chestnut St, Bastrop, TX 78602-3202 | 2012-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
| 1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
| Find all providers in zip 78602 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292407 | Journey of Courage LLC | Counselor | 639 Waugh Way, Bastrop, TX 78602-7465 | 2020-10-15 |
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679193122 | Sarah Wise | Counselor | 2869 Us-165, Bastrop, LA 71280 | 2020-04-24 |
| 1528411923 | Deborah Ray | Counselor | 1707 Arcadia Dr, Bastrop, LA 71220 | 2016-07-20 |
| 1982064101 | Jessica S. Auston-popo | Counselor | 714 North Washington Street, Suite 100, Bastrop, LA 71220 | 2016-03-01 |
| 1487074902 | Eve Barton, M.ed., Lpc, LLC | Counselor | 1368 Fm 969, Bastrop, TX 78602-3168 | 2014-04-23 |
| 1386083392 | Leslie Mellenbruch | Counselor | 944 Highway 71 E, Suite 110-1, Bastrop, TX 78602-5023 | 2013-06-24 |
| 1013232768 | Stacey Denise Helm | Counselor | 1002 Chestnut St, Bastrop, TX 78602-3304 | 2010-04-06 |
| 1578899605 | Herbert R Goldsmith | Counselor | 1105 Pecan St, Bastrop, TX 78602-3222 | 2009-10-24 |
| 1457516536 | Michele Lynn Brower | Counselor | 909 Pecan St., Bastrop, TX 78602 | 2008-07-28 |
| Find all providers in BASTROP | ||||
Please comment or provide details below to improve the information on JENNIFER BOURQUIN.
| 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.