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

Shadlyn Cox Bourne, LPCC

Individual provider Professional Counselor · NPI 1710526637

Shadlyn Cox Bourne, LPCC is a Mental Health Counselor in New Hope, Minnesota. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2019
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

5555 Boone Ave N
New Hope, MN 55428-3636
Phone: (651) 774-0011
Fax: (651) 774-0606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2267 (MN)

Record details

NPI number1710526637
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedDecember 23, 2019
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New Hope