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NICOLE BOURGEOIS M.ED, LADC1
NPI 1043727712
Counselor - Addiction (Substance Use Disorder) in Chelsea, MA

Active since January 04, 2018
175 CRESCENT AVE, CHELSEA, MA 02150(617) 889-8779 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2020, Jan 31, 2019 (2 updates tracked since 2019).

About Nicole Bourgeois M.ed, Ladc1 NPPES

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

NICOLE BOURGEOIS M.ED, LADC1 (NPI 1043727712) is an individual addiction (substance use disorder) provider in Chelsea, Massachusetts, licensed in Massachusetts (17801) and active in the NPI registry since January 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043727712
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE BOURGEOISCredential: M.ED, LADC1
Location Address175 CRESCENT AVEChelsea, MA 02150-3009
Mailing Address175 Crescent AveChelsea, MA 02150-3009 · (617) 889-8779
Phone(617) 889-8779
Sole ProprietorNo
Enumeration DateJanuary 4, 2018
Last NPPES UpdateFebruary 26, 20202 updates tracked since enumeration
✔ NPI 1043727712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 17801
175 CRESCENT AVE, Chelsea, MA 02150
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Secondary Practice Locations 2

Location 125 Staniford StBoston, MA 02114-2503 · Phone (617) 523-1529
Location 211 Circle AveLynn, MA 01905-3050 · Phone (751) 595-2413 ext. 132

Other Providers at the Same Location NPPES 20

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

MR. CARLOS ALBERTO COLON JR. LPN
Licensed Practical Nurse
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-8779
MITSOUKO HANDAL
Social Worker (Clinical)
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-8779
NICOLAS MALOOF BA
Counselor (Addiction (Substance Use Disorder))
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-8779
EMILY LUU
Registered Nurse (Medical-Surgical)
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-8779
DANIEL GREER
Counselor (Addiction (Substance Use Disorder))
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-8779
SARAH JAYNES
Licensed Practical Nurse
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-9568
SETH PERKINS MSW
Counselor (Addiction (Substance Use Disorder))
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 958-5589
MR. JOHN J MOELING L.I.C.S.W.
Social Worker (Clinical)
175 CRESCENT AVE
CHELSEA, MA 02150
Suffolk County (617) 889-8779

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 Nicole Bourgeois's NPI number?

The NPI number for Nicole Bourgeois is 1043727712. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Where is Nicole Bourgeois located?

Nicole Bourgeois practices at 175 Crescent Ave, Chelsea, MA 02150. The listed phone number is (617) 889-8779.

What is Nicole Bourgeois's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Bourgeois was last updated on February 26, 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.