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

Individual provider Mental Health Counselor · NPI 1366067381

Kadie Ann Bourgoin, LPC is a Mental Health Counselor in Columbia, South Carolina. Practices as a sole proprietor. Licensed in Florida and South Carolina.

Licensed in
FL, SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1817 Pickens St
Columbia, SC 29201-2630
Phone: (803) 356-0134
Fax: (803) 401-5424
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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 7631 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 13044 (FL)

Record details

NPI number1366067381
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 15, 2020
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

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