Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Bourassa

Individual provider Professional Counselor · NPI 1639557606

Jacqueline Bourassa is a Mental Health Counselor in Lake Charles, Louisiana. Qualified in 2014, 12 years ago. Practices with Counseling Services of Southwest Louisiana Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Licensed in
LA
In the registry since
2015
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Practice location Address checks out

2802 Hodges St
Lake Charles, LA 70601-7368
Phone: (337) 419-1873
Fax: (337) 656-2848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PLC6140 (LA)

Record details

NPI number1639557606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESMay 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Counseling Services Of Southwest Louisiana Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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