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MS. WINSTON BOURNE LPC
NPI 1639277015
Counselor - Professional in Detroit, MI

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
11457 SHOEMAKER ST, DETROIT, MI 48213(313) 961-3700(313) 961-3769 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Winston Bourne Lpc NPPES

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

MS. WINSTON BOURNE LPC (NPI 1639277015) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401008093) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1639277015
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMS. WINSTON BOURNECredential: LPC
Location Address11457 SHOEMAKER STDetroit, MI 48213-3418
Mailing Address11457 Shoemaker StDetroit, MI 48213-3418 · (313) 331-3435 · Fax (313) 921-9247
Phone(313) 961-3700
Fax(313) 961-3769
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1639277015 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 MI · 6401008093
11457 SHOEMAKER ST, Detroit, MI 48213
Open in Google Maps ↗

Other Identifiers 1

Other6401008093MI · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Winston Bourne Lpc 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 ID9133669385
PECOS Enrollment IDI20240913003073
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.

Other Providers at the Same Location NPPES 20

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

MS. LAUREN HYDE SWANSON LMSW
Social Worker (Clinical)
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 924-0469
MATTHEW BROWN LLMSW
Social Worker (Clinical)
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 331-3435
DR. SATYAMURTHY KOTAMRAJU MD
Psychiatry & Neurology (Clinical Neurophysiology)
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 331-3435
MISS LAMA YOUNES BS, SST
Social Worker
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 331-3435
MS. MARY YOUNG LLPC
Counselor (Mental Health)
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 267-9600
DETROIT EAST, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 331-3435
MS. GWENDOLYN WRIGHT
Social Worker
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 331-3435
MISS ROSHELL GEORGE MSW
Counselor (Mental Health)
11457 SHOEMAKER ST
DETROIT, MI 48213
Wayne County (313) 331-3435

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 Winston Bourne's NPI number?

The NPI number for Winston Bourne is 1639277015. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Winston Bourne located?

Winston Bourne practices at 11457 Shoemaker St, Detroit, MI 48213. The listed phone number is (313) 961-3700.

What is Winston Bourne's specialty?

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

Is Winston Bourne enrolled in Medicare?

Yes. Winston 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.

What insurance does Winston Bourne accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Winston Bourne 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 Winston Bourne was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.