LESLIE CATHERINE OLIVIA BOURGOIN LMHC
NPI 1023572484
Counselor - Mental Health in Lynnwood, WA

Active since January 29, 2019
4807 196TH ST SW STE 220, LYNNWOOD, WA 98036(425) 835-5850(425) 835-5855 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2020, Jan 29, 2019 (2 updates tracked since 2019).

About Leslie Catherine Olivia Bourgoin Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE CATHERINE OLIVIA BOURGOIN LMHC (NPI 1023572484) is an individual mental health provider in Lynnwood, Washington, licensed in Washington (60158756) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1023572484
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLESLIE CATHERINE OLIVIA BOURGOINCredential: LMHC
Location Address4807 196TH ST SW STE 220Lynnwood, WA 98036-6409
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Fax(425) 835-5855
Sole ProprietorNo
Enumeration DateJanuary 29, 2019
Last NPPES UpdateJune 8, 20202 updates tracked since enumeration
NPPES CertifiedJune 8, 2020
NPI 1023572484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · 60158756
4807 196TH ST SW STE 220, Lynnwood, WA 98036

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Student in an Organized Health Care Education/Training Program
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Psychologist
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Counselor
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036
Counselor (Mental Health)
4807 196TH ST SW STE 220
LYNNWOOD, WA 98036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Bourgoin's NPI number?

The NPI number for Leslie Bourgoin is 1023572484. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Leslie Bourgoin located?

Leslie Bourgoin practices at 4807 196th St SW Ste 220, Lynnwood, WA 98036. The listed phone number is (425) 835-5850.

What is Leslie Bourgoin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Leslie Bourgoin was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.