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

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: August 09, 2026.

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 and is a graduate of Other (2018).

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
Medical School CMSOtherGraduated 2018
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6800303249
PECOS Enrollment IDI20250729004878
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.

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.

What insurance does Jordin Bourque accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare 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 4 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.