1. Home
  2. Directory
  3. Minnesota
  4. New Hope
  5. Counselor
  6. NPI Profile

SHADLYN COX BOURNE LPCC
NPI 1710526637
Counselor - Professional in New Hope, MN

Active since December 23, 2019PECOS Enrolled
5555 BOONE AVE N, NEW HOPE, MN 55428(651) 774-0011(651) 774-0606 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Feb 6, 2026, Jan 30, 2026 and 1 more (4 updates tracked since 2019).

About Shadlyn Cox Bourne Lpcc NPPES

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

SHADLYN COX BOURNE LPCC (NPI 1710526637) is an individual professional provider in New Hope, Minnesota, licensed in Minnesota (2267) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710526637
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHADLYN COX BOURNECredential: LPCC
Location Address5555 BOONE AVE NNew Hope, MN 55428-3636
Mailing Address3000 Ames Crossing Rd Ste 600Eagan, MN 55121-2570 · (651) 774-0011 · Fax (651) 774-0606
Phone(651) 774-0011
Fax(651) 774-0606
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 23, 2019
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1710526637 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 MN · 2267
5555 BOONE AVE N, New Hope, MN 55428
Open in Google Maps ↗

Other Names 1

Other Name (5)Shadlyn Cox-bourne Lpcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadlyn Cox Bourne Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941777049
PECOS Enrollment IDI20260427001053
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 Reassignments

2

Medicare enrollment records show Shadlyn Bourne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

People Incorporated
Same address
Community/Behavioral Health
5555 BOONE AVE N
New Hope, MN 55428
  • Reassigned Medicare billing, Minnesota enrollment
  • 99 clinicians in this Medicare group
NPI 1720356900 (763) 515-2441
Bourne Wellness Center LLC
3.2 mi
Mental Health
4007 65TH AVE N
Brooklyn Center, MN 55429
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1801731492 (763) 614-6393

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KRISTIN DIERUF LMFT
Marriage & Family Therapist
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
KATELYN MARIE DONALD
Marriage & Family Therapist
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
SAMANTHA ZILVERBERG LPCC
Counselor (Professional)
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
JALEESA LENOIR MSW, LICSW
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
MARITA K GLASGOW LMFT
Marriage & Family Therapist
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
FARAH AHAMED NOORANI LICSW
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
HANNAH CLAIRE LANGHOLZ LICSW
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011
BREE LYNN MEDUNA LICSW
Social Worker (Clinical)
5555 BOONE AVE N
NEW HOPE, MN 55428
Hennepin County (651) 774-0011

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 Shadlyn Bourne's NPI number?

The NPI number for Shadlyn Bourne is 1710526637. It was assigned to this individual provider in the NPPES registry on December 23, 2019. The provider is also known as Shadlyn Cox-Bourne Lpcc.

Where is Shadlyn Bourne located?

Shadlyn Bourne practices at 5555 Boone Ave N, New Hope, MN 55428. The listed phone number is (651) 774-0011.

What is Shadlyn Bourne's specialty?

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

Is Shadlyn Bourne enrolled in Medicare?

Yes. Shadlyn Bourne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shadlyn Bourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shadlyn Bourne reassigns Medicare benefits to 2 organizations: People Incorporated (New Hope, MN) and Bourne Wellness Center LLC (Brooklyn Center, MN). Each 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 Shadlyn Bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shadlyn Bourne accept?

Health plans from HealthPartners list Shadlyn 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 Shadlyn Bourne was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.