JORDIN LEIGH BOURQUE LMSW
NPI 1861155780
Counselor - Mental Health in Phoenix, AZ

Q: What is Jordin Bourque's NPI number?

The NPI number for Jordin Bourque is 1861155780. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Q: What is Jordin Bourque'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 Jordin Bourque was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 18, 2021PECOS Enrolled

3943 W GRISWOLD RD, PHOENIX, AZ 85051(928) 925-5251 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jordin Leigh Bourque Lmsw NPPES

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

JORDIN LEIGH BOURQUE LMSW (NPI 1861155780) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LMSW-18617) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861155780

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJORDIN LEIGH BOURQUECredential: LMSW

Location Address3943 W GRISWOLD RDPhoenix, AZ 85051-4633

Mailing Address3943 W Griswold RdPhoenix, AZ 85051-4633

Phone(928) 925-5251

Sole ProprietorNo

Enumeration DateOctober 18, 2021

NPPES CertifiedOctober 15, 2021

✔ NPI 1861155780 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 AZ · LMSW-18617

3943 W GRISWOLD RD, Phoenix, AZ 85051

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordin Leigh Bourque Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jordin Bourque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pathways To Connection, LLC

4.0 mi

Clinical

7007 W CINNABAR AVE
Peoria, AZ 85345

Reassigned Medicare billing, Arizona enrollment
19 clinicians in this Medicare group

NPI 1396334157 (602) 218-1249

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

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 Jordin Bourque's NPI number?

The NPI number for Jordin Bourque is 1861155780. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Jordin Bourque located?

Jordin Bourque practices at 3943 W Griswold Rd, Phoenix, AZ 85051. The listed phone number is (928) 925-5251.

What is Jordin Bourque's specialty?

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

Is Jordin Bourque enrolled in Medicare?

Yes. Jordin Bourque is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordin Bourque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordin Bourque reassigns Medicare benefits to Pathways To Connection, LLC (Peoria, AZ). The 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 Jordin Bourque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordin Bourque accept?

Health plans from Cigna HealthCare of Arizona, Inc list Jordin Bourque 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 Jordin Bourque was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.