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MS. KRYSTAL BOURGEOIS BSW, SAC-IT
NPI 1982154779
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Active since October 05, 2016
2677 N 40TH ST, MILWAUKEE, WI 53210(414) 447-1965(414) 447-1964 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Krystal Bourgeois Bsw, Sac-it NPPES

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

MS. KRYSTAL BOURGEOIS BSW, SAC-IT (NPI 1982154779) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (16764-130) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1982154779
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KRYSTAL BOURGEOISCredential: BSW, SAC-IT
Location Address2677 N 40TH STMilwaukee, WI 53210-2505
Mailing Address8801 W Oklahoma Ave Apt 210Milwaukee, WI 53227-4571 · (414) 552-9244
Phone(414) 447-1965
Fax(414) 447-1964
Sole ProprietorNo
Enumeration DateOctober 5, 2016
Last NPPES UpdateFebruary 16, 2017
✔ NPI 1982154779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 16764-130
2677 N 40TH ST, Milwaukee, WI 53210
Open in Google Maps ↗

Other Identifiers 1

Medicaid261QM0801XWI

Other Providers at the Same Location NPPES 8

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

MRS. SHANTREASE BENSON
Counselor (Addiction (Substance Use Disorder))
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965
WORD OF HOPE MINISTRIES, INC
Community/Behavioral Health
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965
WORD OF HOPE MINISTRIES
Counselor (Addiction (Substance Use Disorder))
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965
REBECCA MARIE PRESSLEY
Counselor (Addiction (Substance Use Disorder))
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965
MISS PATRICIA LOUISE GRAY 15653-130
Counselor (Addiction (Substance Use Disorder))
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965
WORD OF HOPE MINISTRIES
Early Intervention Provider Agency
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965
MR. CLEON EDWARD SUGGS SUBSTANCE ABUSE COUN
Counselor (Addiction (Substance Use Disorder))
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1964
LEVI M PRESTON CSAC
Counselor (Addiction (Substance Use Disorder))
2677 N 40TH ST
MILWAUKEE, WI 53210
Milwaukee County (414) 447-1965

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 Krystal Bourgeois's NPI number?

The NPI number for Krystal Bourgeois is 1982154779. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Krystal Bourgeois located?

Krystal Bourgeois practices at 2677 N 40th St, Milwaukee, WI 53210. The listed phone number is (414) 447-1965.

What is Krystal Bourgeois's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Krystal Bourgeois was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.