Active NPIIndividual providerSole proprietor

Brian Bourassa

Counselor, Mental Health in Salem, Massachusetts

NPI Number1669232666
Practice location
110 Boston St, Salem, MA 01970-1402
Fax
—
Last updated
March 19, 2024

Brian Bourassa is a Counselor, Mental Health based in Salem, MA. Brian Bourassa practices in Salem, MA. The NPI Number for Brian Bourassa is 1669232666. The current practice location address for Brian Bourassa is 110 Boston St, Salem, MA 01970-1402 and can be reached out via phone at 603-915-6390.

Provider Profile Details

NPI Number
1669232666
Provider Name
Brian Bourassa
Provider Entity Type
Individual
Gender
Male
Address
110 Boston St, Salem, MA 01970-1402
Phone Number
603-915-6390
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 19, 2024
Last Update Date
March 19, 2024
Certification Date
March 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Boston St
Salem, MA 01970-1402
City
Salem
Zip
01970-1402
Phone Number
603-915-6390
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
10 Trask CT Apt 21
Beverly, MA 01915-5375
City
Beverly
State
MA
Zip
01915-5375
Phone Number
603-915-6390

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian Bourassa?

The NPI number of Brian Bourassa is 1669232666. It was assigned on March 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Brian Bourassa?

Brian Bourassa is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Brian Bourassa practice?

The practice location is 110 Boston St, Salem, MA 01970-1402. The office can be reached at 603-915-6390 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669232666 directly on the NPPES registry website.

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