Carly Bourque
Carly Bourque is a School Counselor provider (Counselor) practicing in Pine Valley, CA, registered in the NPPES registry with NPI 1053268979 since 2026.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053268979 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Carly Bourque |
| Sex | Female |
| Practice address | 3305 BUCKMAN SPRINGS RD, Pine Valley, CA, 91962 |
| Phone | 6193266662 |
| Enumeration date | 2026-03-11 |
| Last updated in NPPES | 2026-03-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YS0200X | School Counselor | Primary | 220102083 | CA |
Copy-ready billing details
Provider: Carly Bourque NPI: 1053268979 Taxonomy: 101YS0200X (School Counselor) Address: 3305 BUCKMAN SPRINGS RD, Pine Valley, CA, 91962
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487515789 | Gary Brannon | Individual | Health & Wellness Coach | Pine Valley, CA |
| 1619830742 | Peter Krahling | Individual | Counselor | Pine Valley, CA |
| 1285597328 | Christina Crane | Individual | School Counselor | Pine Valley, CA |
| 1013846104 | Trishauna Pulos | Individual | Health & Wellness Coach | Pine Valley, CA |
Verify this record
Cross-check NPI 1053268979 against the authoritative CMS record: view Carly Bourque on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-11.