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MEGAN LYNN BOURGUILLON
NPI 1104055474
Counselor - Mental Health in Bridgeport, CT

Active since July 08, 2009PECOS Enrolled
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 330-6054(203) 331-4716 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Megan Lynn Bourguillon NPPES

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

MEGAN LYNN BOURGUILLON (NPI 1104055474) is an individual mental health provider in Bridgeport, Connecticut, licensed in Connecticut (002136) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104055474
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMEGAN LYNN BOURGUILLON
Location Address1046 FAIRFIELD AVEBridgeport, CT 06605-1116
Mailing Address1046 Fairfield AveBridgeport, CT 06605-1116 · (203) 330-6054 · Fax (203) 331-4716
Phone(203) 330-6054
Fax(203) 331-4716
Sole ProprietorNo
Enumeration DateJuly 8, 2009
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1104055474 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 CT · 002136
1046 FAIRFIELD AVE, Bridgeport, CT 06605
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Other Names 1

Former Name (1)Megan Lynn Zimmer

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Lynn Bourguillon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SOUTH- WEST COMMUNITY HEALTH CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MS. KATHLEEN L. MANALIS
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
PATRICIA KOLBUSZ
Social Worker
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 612-3223
TARA CONCETTA O'NEIL LCSW
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
MARILYN PRATT LMSW
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000
NICOLE ALTBAUM-NASH
Social Worker (Clinical)
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6054
MS. LISA A. PRIBESH M.ED., LADC
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 332-3119
MEGAN DIANE SAMPSON LPC
Counselor (Addiction (Substance Use Disorder))
1046 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Greater Bridgeport Planning Region (203) 330-6000

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 Megan Bourguillon's NPI number?

The NPI number for Megan Bourguillon is 1104055474. It was assigned to this individual provider in the NPPES registry on July 8, 2009. The provider is also known as Megan Lynn Zimmer.

Where is Megan Bourguillon located?

Megan Bourguillon practices at 1046 Fairfield Ave, Bridgeport, CT 06605. The listed phone number is (203) 330-6054.

What is Megan Bourguillon's specialty?

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

Is Megan Bourguillon enrolled in Medicare?

Yes. Megan Bourguillon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Megan Bourguillon was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.