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KADIE ANN BOURGOIN LPC
NPI 1366067381
Counselor - Professional in Columbia, SC

Active since June 15, 2020
1817 PICKENS ST, COLUMBIA, SC 29201(803) 356-0134(803) 401-5424 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Jan 21, 2021, Jun 15, 2020 (3 updates tracked since 2020).

About Kadie Ann Bourgoin Lpc NPPES

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

KADIE ANN BOURGOIN LPC (NPI 1366067381) is an individual professional provider in Columbia, South Carolina, licensed in South Carolina (7631) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1366067381
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKADIE ANN BOURGOINCredential: LPC
Location Address1817 PICKENS STColumbia, SC 29201-2630
Mailing Address1817 Pickens StColumbia, SC 29201-2630 · (803) 356-0134 · Fax (803) 401-5424
Phone(803) 356-0134
Fax(803) 401-5424
Sole ProprietorYes
Enumeration DateJune 15, 2020
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1366067381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 7631
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 13044 (FL)
1817 PICKENS ST, Columbia, SC 29201
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Other Providers at the Same Location NPPES 16

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

MADELINE MORAN
Counselor (Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 393-9710
BEAUTIFUL STATE COUNSELING & CONSULTING, LLC
Counselor (Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 386-8014
LAVENDER PATH COUNSELING
Counselor (Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (864) 419-7897
SODA CITY COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 393-9710
LEAVES ON A STREAM COUNSELING, LLC
Clinic/Center (Adult Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 250-5430
CAISEY HUTTO LPC
Counselor (Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 563-8716
WAYFINDER COUNSELING AND WELLNESS, LLC
Counselor (Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 465-4710
BRANDI MIMBS
Counselor (Mental Health)
1817 PICKENS ST
COLUMBIA, SC 29201
Richland County (803) 250-1151

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 Kadie Bourgoin's NPI number?

The NPI number for Kadie Bourgoin is 1366067381. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Kadie Bourgoin located?

Kadie Bourgoin practices at 1817 Pickens St, Columbia, SC 29201. The listed phone number is (803) 356-0134.

What is Kadie Bourgoin'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 Kadie Bourgoin was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.