Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Bailey A Bourassa , LLPC

Counselor - Mental Health β€’ Port Huron, MI

Active NPI 1518855949 Individual Practitioner Female Practitioner
Practice location in NPPES

2415 24th St
Port Huron, MI 480606414

Call 8104888840 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2415 24th St

Port Huron, MI 480606414

Telephone 8104888840
Organization at the Same NPPES Address or Phone
St Clair County Community Mental Health Authority Facility NPI 1295083723

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Port Huron and Michigan

53 active clinicians are listed under Counselor - Mental Health with a practice address in Port Huron, MI (3,988 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Port Huron

3.8% of these 53 clinicians have the CMS telehealth indicator.

17% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-26
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES MI 6451025043
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location June 26, 2026

Registered at 2415 24TH ST, PORT HURON, MI 480606414 (Tel: 8104888840)

πŸ‘€
Provider Name / Credentials Updated June 26, 2026

Recorded as BAILEY BOURASSA, LLPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2026

Counselor (license number reported to NPPES: MI 6451025043)

πŸ“
Updated Practice Location April 29, 2026

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2026

Counselor

βœ…
NPI Profile Active June 25, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 25, 2025

Registered at 6221 KING RD, MARINE CITY, MI 480391428 (Tel: 8107658539)

πŸ“
Business Mailing Address (Initial Record) June 25, 2025

Registered at 3111 ELECTRIC AVE, PORT HURON, MI 480608127 (Tel: 8109858900)

πŸ‘€
Provider Name / Credentials (Initial Record) June 25, 2025

Recorded as BAILEY BOURASSA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2025

Counselor

🟒
Initial NPI Registration & Enumeration June 25, 2025

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1518855949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2025
Last Update: June 26, 2026
Sole Proprietor: No

Mailing Address

3111 Electric Ave

Port Huron, MI 480608127

Phone: 8109858900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.