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VICTORIA BOUGENO
NPI 1710835160
Counselor - Mental Health in Saint Louis, MO

Active since March 20, 2026PECOS Enrolled
12818 TESSON FERRY RD STE 103, SAINT LOUIS, MO 63128(314) 461-0277 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victoria Bougeno NPPES

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

VICTORIA BOUGENO (NPI 1710835160) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (2026011328) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710835160
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVICTORIA BOUGENO
Location Address12818 TESSON FERRY RD STE 103Saint Louis, MO 63128-2945
Mailing Address2822 Flintwood DrSaint Louis, MO 63129-2530
Phone(314) 461-0277
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1710835160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · 2026011328
12818 TESSON FERRY RD STE 103, Saint Louis, MO 63128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Bougeno is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325514425
PECOS Enrollment IDI20260416001494
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 9

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

MRS. KRYSTAL L SKIPPER MA, LPC
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 923-4655
BRITTANY PANUS MA,LPC
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 912-4655
SADIE TANNER-POBOCIK LPC
Counselor (Mental Health)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (504) 655-6168
AMANDA J SCHUERMANN MA, LPC
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 923-4655
MS. KRISTINA RENEE KERSTING PHD, LPC
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 923-4655
DR. MICHELLE RENEE HASTINGS PH.D.
Psychologist
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 923-4655
MRS. KATELYN ELIZABETH VISCUSO M.ED., LPC
Counselor (Professional)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 912-4655
ELIZABETH FREEMAN LCSW
Social Worker (Clinical)
12818 TESSON FERRY RD STE 103
SAINT LOUIS, MO 63128
St. Louis County (314) 912-4655

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 Victoria Bougeno's NPI number?

The NPI number for Victoria Bougeno is 1710835160. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Victoria Bougeno located?

Victoria Bougeno practices at 12818 Tesson Ferry Rd Ste 103, Saint Louis, MO 63128. The listed phone number is (314) 461-0277.

What is Victoria Bougeno's specialty?

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

Is Victoria Bougeno enrolled in Medicare?

Yes. Victoria Bougeno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Bougeno was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.