Michele Nordgren Bourque, LMFT
NPI 1457838989ActiveIndividual· Marriage & Family Therapist· Lacey, WA
Marriage & Family Therapist (LMFT) in Lacey, Washington, licensed in WA, with an NPI issued in July 2018.
Overview
| NPI | 1457838989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMFT |
| Sole proprietor | No |
| NPI issued | Jul 26, 2018 |
| Last updated in NPPES | Mar 20, 2020 |
| Certified by provider | Mar 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | MG60472487 | WA |
| Psychologist, Family | 103TF0000X | MG60472487 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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