ANNIE ELIZABETH BOURNE B.S.
NPI 1477623239
Counselor in Salem, MA

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
97 COLUMBUS AVE, A, SALEM, MA 01970(530) 774-4868 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Annie Elizabeth Bourne B.s. NPPES

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

ANNIE ELIZABETH BOURNE B.S. (NPI 1477623239) is an individual counselor in Salem, Massachusetts and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1477623239
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANNIE ELIZABETH BOURNECredential: B.S.
Location Address97 COLUMBUS AVE, ASalem, MA 01970-5756
Mailing Address97 Columbus Ave, ASalem, MA 01970 · (530) 774-4868
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1477623239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
97 COLUMBUS AVE, Salem, MA 01970

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

Annie Elizabeth Bourne B.s. 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 ID5698242212
PECOS Enrollment IDI20260430002596
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 Annie Bourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
125 HARTWELL AVE
Lexington, MA 02421
  • Reassigned Medicare billing, Massachusetts enrollment
  • 167 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.

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 Annie Bourne's NPI number?

The NPI number for Annie Bourne is 1477623239. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Annie Bourne located?

Annie Bourne practices at 97 Columbus Ave A, Salem, MA 01970. The listed phone number is (530) 774-4868.

What is Annie Bourne's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Annie Bourne enrolled in Medicare?

Yes. Annie Bourne 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 Annie Bourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annie Bourne reassigns Medicare benefits to Eliot Community Human Services (Lexington, 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 Annie Bourne'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 Annie Bourne was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.