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JEANINE MICHELLE BOURCIER LMFT
NPI 1104981125
Marriage & Family Therapist in San Diego, CA

Active since December 27, 2006PECOS Enrolled
4061 IDAHO ST APT 1, SAN DIEGO, CA 92104(619) 228-3354 Get Directions Write a Review

NPPES record last updated: July 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2022, Jan 8, 2021, Dec 30, 2016 (3 updates tracked since 2016).

About Jeanine Michelle Bourcier Lmft NPPES

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

JEANINE MICHELLE BOURCIER LMFT (NPI 1104981125) is an individual marriage & family therapist in San Diego, California, licensed in California (51833) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104981125
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJEANINE MICHELLE BOURCIERCredential: LMFT
Location Address4061 IDAHO ST APT 1San Diego, CA 92104-2530
Mailing Address4061 Idaho St Apt 1San Diego, CA 92104-2530 · (619) 228-3354
Phone(619) 228-3354
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 23, 20223 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1104981125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 51833✔ Licensed in CA · 59420
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4061 IDAHO ST APT 1, San Diego, CA 92104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Michelle Bourcier Lmft 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeanine Bourcier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
422 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp
430 mi
Psychiatry
2100 GENG RD STE 210
Palo Alto, CA 94303
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Wellmindonline Ca Licensed Clinical Social Worker Prof Corp
  • 54 clinicians in this Medicare group
NPI 1447871272 (833) 646-3243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeanine Bourcier's NPI number?

The NPI number for Jeanine Bourcier is 1104981125. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Jeanine Bourcier located?

Jeanine Bourcier practices at 4061 Idaho St Apt 1, San Diego, CA 92104. The listed phone number is (619) 228-3354.

What is Jeanine Bourcier's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jeanine Bourcier enrolled in Medicare?

Yes. Jeanine Bourcier is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeanine Bourcier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Bourcier reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Wellmind Online Ca Licensed Clinical Social Worker Prof Corp (Palo Alto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanine Bourcier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanine Bourcier was last updated on July 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.