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ELIZA BOURKE
NPI 1639997927
Counselor - Mental Health in San Diego, CA

Active since September 26, 2024
1260 MORENA BLVD STE 2, SAN DIEGO, CA 92110(619) 398-3261 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 6, 2025, May 12, 2025, Sep 26, 2024 (3 updates tracked since 2024).

About Eliza Bourke NPPES

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

ELIZA BOURKE (NPI 1639997927) is an individual mental health provider in San Diego, California, licensed in California (ASW130714) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1639997927
Entity TypeIndividual
Primary Taxonomy101YM0800X
Provider Legal NameELIZA BOURKE
Location Address1260 MORENA BLVD STE 2San Diego, CA 92110-3889
Mailing Address1260 Morena Blvd Ste 200San Diego, CA 92110-3850 · (619) 323-7271
Phone(619) 398-3261
Sole ProprietorNo
Enumeration DateSeptember 26, 2024
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1639997927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW130714
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License A15666 (OR)
Also ListedRehabilitation PractitionerTaxonomy 225400000X
1260 MORENA BLVD STE 2, San Diego, CA 92110
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Other Providers at the Same Location NPPES 13

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

MARIAH LOPEZ
Social Worker (Clinical)
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
KATHERINE WINSHIP
Social Worker (Clinical)
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
NINA MARIE TINSLEY
Student in an Organized Health Care Education/Training Program
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
NATALYA GABRIELA GONZALEZ MENDEZ
Counselor (Professional)
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
NATALIE FERNANDEZ
Social Worker (Clinical)
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
ISABELLA BITTNER
Student in an Organized Health Care Education/Training Program
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
MEGAN CASSIDY ISLER
Student in an Organized Health Care Education/Training Program
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
PEYTON EILISH HESLIP SUDRC
Counselor (Addiction (Substance Use Disorder))
1260 MORENA BLVD STE 2
SAN DIEGO, CA 92110
San Diego County (619) 398-3261

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 Eliza Bourke's NPI number?

The NPI number for Eliza Bourke is 1639997927. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Eliza Bourke located?

Eliza Bourke practices at 1260 Morena Blvd Ste 2, San Diego, CA 92110. The listed phone number is (619) 398-3261.

What is Eliza Bourke's specialty?

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

When was this NPI record last updated?

The NPPES record for Eliza Bourke was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.