MS. WINSTON BOURNE LPC
NPI 1639277015
Counselor - Professional in Detroit, MI

NPI Status: Active since September 20, 2006

Contact Information

11457 SHOEMAKER ST
DETROIT, MI
ZIP 48213
Phone: (313) 961-3700
Fax: (313) 961-3769

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  • Individual
  • Male
  • Years of Experience 25
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About WINSTON BOURNE

This page provides the complete NPI Profile along with additional information for Winston Bourne, a provider established in Detroit, Michigan with a medical specialization in Counselor, focusing in professional and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1639277015 assigned on September 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 6401008093 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1639277015
Provider Name
MS. WINSTON BOURNE LPC
Gender
Male
Entity Type
Individual
Location Address
11457 SHOEMAKER ST DETROIT, MI 48213
Location Phone
(313) 961-3700
Location Fax
(313) 961-3769
Mailing Address
11457 SHOEMAKER ST DETROIT, MI 48213
Mailing Phone
(313) 331-3435
Mailing Fax
(313) 961-3769
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
Yes
Enumeration Date
09-20-2006
Last Update Date
08-26-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
6401008093
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (No Referrals) - HMO
  • UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6401008093OTHER (01)MISTATE LICENSE NUMBER

Medicare Participation & PECOS Enrollment Status

Winston Bourne is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Winston Bourne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133669385

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240913003073

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. WINSTON BOURNE LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639277015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669471402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 7 + 1 + 4 + 0 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639277015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083626501DR. SATYAMURTHY KOTAMRAJU MD
Individual
Psychiatry & Neurology (Clinical Neurophysiology)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1326265133MISS PATRICIA JACKSON MSW
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1548487341MISS ESTHER CLAXTON MSW
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1295952000MISS ROSHELL GEORGE MSW
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1437417805CLINICAL PERFECTION
Organization
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 207-0278
1619386588MRS. ANGELISA PRINCE LLMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1538578497 KRISTYN BRYSON
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1164831012MS. MARY YOUNG LLPC
Individual
Counselor (Mental Health)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1689083404 ALLEN PECK MSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 267-9600
1821407537 FREDERICK CARR
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1134538846MISS LAMA YOUNES BS, SST
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1831508522GATEWAY DETROIT
Organization
Preferred Provider Organization11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1639588338GATEWAY DETROIT EAST COMMUNITY
Organization
Community/Behavioral Health11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1053720706 MATTHEW BROWN LLMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1932509130MS. TIFFANY REECE LLBSW
Individual
Social Worker11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1518367390 AURORA CEBU
Individual
Registered Nurse11457 SHOEMAKER ST
DETROIT, MI 48213
(248) 227-9843
1619366705MR. MOIDUNNY N ABDUTTY SR. LMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435
1609238674SATYAMURTHY KOTAMRAJU MD PC
Organization
Psychiatry & Neurology (Clinical Neurophysiology)11457 SHOEMAKER ST
DETROIT, MI 48213
(248) 202-5589
1053720672MS. LAUREN HYDE SWANSON LMSW
Individual
Social Worker (Clinical)11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 924-0469
1205854916DETROIT EAST, INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))11457 SHOEMAKER ST
DETROIT, MI 48213
(313) 331-3435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639277015, enumerated in the NPI registry as an "individual" on September 20, 2006

The provider is located at 11457 Shoemaker St Detroit, Mi 48213 and the phone number is (313) 961-3700

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.