Christina Danielle Bourgeois, LPCC in Bloomington, MN

Christina Danielle Bourgeois, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Bloomington, Minnesota. Her current practice location is 3601 Minnesota Dr, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (844) 994-3631.

Christina Danielle Bourgeois is licensed to practice in Minnesota (license number CC03298) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265200166.

Contact Information

	Christina Danielle Bourgeois, LPCC
	3601 Minnesota Dr, Bloomington, MN 55435-5281
	(844) 994-3631
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christina Danielle Bourgeois
Gender	Female
Speciality	Counselor - Mental Health
Location	3601 Minnesota Dr, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265200166
Provider Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 6204289739
Enrollment ID: I20240131002219

Medical Identifiers

Medical identifiers for Christina Danielle Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265200166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC03298 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christina Danielle Bourgeois allows following entities to bill medicare on her behalf.

Entity Name	Family Innovations Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Danielle Bourgeois is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christina Danielle Bourgeois, LPCC 3601 Minnesota Dr, Bloomington, MN 55435-5281 Ph: (844) 994-3631	Christina Danielle Bourgeois, LPCC 3601 Minnesota Dr, Bloomington, MN 55435-5281 Ph: (844) 994-3631

Reviews and Comments

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Naseeb Mohammed Ismaiel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9340 James Ave S, Bloomington, MN 55431 Phone: 612-226-0907

Christina Danielle Bourgeois, LPCC - Medicare Counselor in Bloomington, MN