Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811732001 Individual Practitioner Female Practitioner

Kaylen Bourdage

Peer Specialist • Southgate, MI

Professional Overview & Biography Verified Profile Summary

Kaylen Bourdage is a registered healthcare professional specializing in Peer Specialist in Southgate, MI. Practice services are available at 13101 ALLEN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13101 Allen Rd

Southgate, MI 481952216

Telephone 7347857700
Associated Practice Facility / Clinic
🏢 The Guidance Center Facility NPI 1609947027

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Southgate, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
39 Specialists

Practicing in Southgate, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-27
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003239963

Licensed Master Social Worker

Shannon Baynai

Social Worker - Clinical

NPI 1003334277
Vickie Novell , LMSW

Social Worker - Clinical

NPI 1013167782

Licensed Master Social Worker

Ricky Davis , QMHS-B

Case Manager/Care Coordinator

NPI 1013413525

QMHSB

Tamika Merriman , LLMSW

Social Worker - Clinical

NPI 1013524099

Limited Licensed Master Social Worker

NPI 1013531243

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2024

Registered at 13101 ALLEN RD, SOUTHGATE, MI 481952216 (Tel: 7347857700)

📍
Updated Business Mailing Address June 28, 2024

Registered at 13101 ALLEN RD, SOUTHGATE, MI 481952216

👤
Provider Name / Credentials Updated June 28, 2024

Recorded as KAYLEN BOURDAGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration June 28, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811732001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2024
Last Update: June 28, 2024
Sole Proprietor: Yes

Mailing Address

13101 Allen Rd

Southgate, MI 481952216

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.