MS. ELLEN ANN BOURNE MSW
NPI 1669619714
Counselor - Mental Health in Clearlake, CA

Q: What is Ellen Bourne's NPI number?

The NPI number for Ellen Bourne is 1669619714. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Q: What is Ellen Bourne's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellen Bourne was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 12, 2009

7000 S CENTER DR, B, CLEARLAKE, CA 95422(707) 994-7090(707) 994-7092 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Ellen Ann Bourne Msw NPPES

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

MS. ELLEN ANN BOURNE MSW (NPI 1669619714) is an individual mental health provider in Clearlake, California and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1669619714

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. ELLEN ANN BOURNECredential: MSW

Location Address7000 S CENTER DR, BClearlake, CA 95422-8131

Mailing Address7000 S Center Dr, BClearlake, CA 95422-8131 · (707) 994-7090 · Fax (707) 994-7092

Phone(707) 994-7090

Fax(707) 994-7092

Sole ProprietorNo

Enumeration DateJanuary 12, 2009

Last NPPES UpdateMay 19, 2011

✔ NPI 1669619714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

7000 S CENTER DR, Clearlake, CA 95422

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Other Providers at the Same Location NPPES 3

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

ELISE PATRICIA ANNE JONES

Case Manager/Care Coordinator

7000 S CENTER DR
CLEARLAKE, CA 95422

Lake County (707) 994-7090

JANET WOLFLEY

Registered Nurse

7000 S CENTER DR
CLEARLAKE, CA 95422

Lake County (707) 949-7090

RAUL WYBO-GILBERT

Counselor (Addiction (Substance Use Disorder))

7000 S CENTER DR
CLEARLAKE, CA 95422

Lake County (707) 994-6494

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 Ellen Bourne's NPI number?

The NPI number for Ellen Bourne is 1669619714. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Ellen Bourne located?

Ellen Bourne practices at 7000 S Center Dr B, Clearlake, CA 95422. The listed phone number is (707) 994-7090.

What is Ellen Bourne'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 Ellen Bourne was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.