MARIE BOURNE LPC
NPI 1922463173
Counselor - Professional in Saint Cloud, MN

Active since December 15, 2015PECOS EnrolledAccepts Medicare Assignment
4140 THIELMAN LN, SAINT CLOUD, MN 56301(320) 253-5930 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie Bourne Lpc NPPES

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

MARIE BOURNE LPC (NPI 1922463173) is an individual professional provider in Saint Cloud, Minnesota, licensed in Minnesota (01569) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922463173
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARIE BOURNECredential: LPC
Location Address4140 THIELMAN LNSaint Cloud, MN 56301-7326
Mailing AddressPo Box 9859Fargo, ND 58106-9859
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 15, 2015
NPI 1922463173 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 · 01569
4140 THIELMAN LN, Saint Cloud, MN 56301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marie Bourne Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355875501
PECOS Enrollment IDI20241111000523
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 2

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

Dentist
4140 THIELMAN LN, SUITE 302
SAINT CLOUD, MN 56301
Dentist (General Practice)
4140 THIELMAN LN, SUITE 302
SAINT CLOUD, MN 56301

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 Marie Bourne's NPI number?

The NPI number for Marie Bourne is 1922463173. It was assigned to this individual provider in the NPPES registry on December 15, 2015.

Where is Marie Bourne located?

Marie Bourne practices at 4140 Thielman Ln, Saint Cloud, MN 56301. The listed phone number is (320) 253-5930.

What is Marie Bourne's specialty?

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

Is Marie Bourne enrolled in Medicare?

Yes. Marie Bourne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marie Bourne accept?

Health plans from HealthPartners list Marie 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 Marie Bourne was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.