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MS. KELLIE BOUGARD -JORDAN
NPI 1245672500
Counselor - Professional in Santa Ana, CA

Active since July 26, 2013
401 W CIVIC CENTER DR STE 600, SANTA ANA, CA 92701(714) 480-6767 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2022, Jun 9, 2021, Mar 25, 2021 and 3 more (6 updates tracked since 2021).

About Ms. Kellie Bougard -jordan NPPES

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

MS. KELLIE BOUGARD -JORDAN (NPI 1245672500) is an individual professional provider in Santa Ana, California, licensed in California (LPCC7815) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1245672500
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KELLIE BOUGARD -JORDAN
Location Address401 W CIVIC CENTER DR STE 600Santa Ana, CA 92701-4515
Mailing AddressPo Box 2843Chino Hills, CA 91709-0095 · (714) 480-6692
Phone(714) 480-6767
Sole ProprietorNo
Enumeration DateJuly 26, 2013
Last NPPES UpdateNovember 21, 20226 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1245672500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC7815
401 W CIVIC CENTER DR STE 600, Santa Ana, CA 92701
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Other Providers at the Same Location NPPES 2

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

GISELA MARIA OBIETA VILLAVICENCIO LCSW
Social Worker (Clinical)
401 W CIVIC CENTER DR STE 600
SANTA ANA, CA 92701
Orange County (714) 850-8402
MR. KELLY GENE COBURN LMFT
Marriage & Family Therapist
401 W CIVIC CENTER DR STE 600
SANTA ANA, CA 92701
Orange County (714) 850-8405

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 Kellie Bougard -jordan's NPI number?

The NPI number for Kellie Bougard -jordan is 1245672500. It was assigned to this individual provider in the NPPES registry on July 26, 2013.

Where is Kellie Bougard -jordan located?

Kellie Bougard -jordan practices at 401 W Civic Center Dr Ste 600, Santa Ana, CA 92701. The listed phone number is (714) 480-6767.

What is Kellie Bougard -jordan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kellie Bougard -jordan was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.