Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATASHA BOURGOIN
NPI 1205421500
Counselor - Mental Health in Plymouth, MA

Active since March 08, 2021PECOS EnrolledAccepts Medicare Assignment
2277 STATE RD, PLYMOUTH, MA 02360(617) 953-7845 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2026, Nov 20, 2023, Mar 8, 2021 (3 updates tracked since 2021).

About Natasha Bourgoin NPPES

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

NATASHA BOURGOIN (NPI 1205421500) is an individual mental health provider in Plymouth, Massachusetts, licensed in Massachusetts (225951) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plymouth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205421500
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNATASHA BOURGOIN
Location Address2277 STATE RDPlymouth, MA 02360-7111
Mailing Address2277 State RdPlymouth, MA 02360-7111
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 8, 2021
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1205421500 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 MA · 225951
2277 STATE RD, Plymouth, MA 02360

Secondary Practice Location 1

Location 157 Obery St Ste 1Plymouth, MA 02360-2480 · Phone (774) 205-2857

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Natasha Bourgoin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496193641
PECOS Enrollment IDI20240405003360
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 Reassignment

Medicare enrollment records show Natasha Bourgoin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2277 STATE RD UNIT D
Plymouth, MA 02360
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

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

Optometrist
2277 STATE RD, SUITE F
PLYMOUTH, MA 02360
Durable Medical Equipment & Medical Supplies
2277 STATE RD, SUITE K2
PLYMOUTH, MA 02360
Chiropractor
2277 STATE RD, STE 1
PLYMOUTH, MA 02360
Counselor (Mental Health)
2277 STATE RD
PLYMOUTH, MA 02360

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 Natasha Bourgoin's NPI number?

The NPI number for Natasha Bourgoin is 1205421500. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Natasha Bourgoin located?

Natasha Bourgoin practices at 2277 State Rd, Plymouth, MA 02360. The listed phone number is (617) 953-7845.

What is Natasha Bourgoin's specialty?

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

Is Natasha Bourgoin enrolled in Medicare?

Yes. Natasha Bourgoin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Natasha Bourgoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natasha Bourgoin reassigns Medicare benefits to Emdr Therapy Solutions And Wellness LLC (Plymouth, MA). The 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 Natasha Bourgoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natasha Bourgoin accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Natasha Bourgoin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natasha Bourgoin was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.