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Michelle Bourdo

Counselor - Professional β€’ Brookfield, WI

Active NPI 1174231013 Individual Practitioner Female Practitioner
Practice location in NPPES

16535 W Bluemound Rd Ste 200
Brookfield, WI 530055906

Call 2629993495 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

16535 W Bluemound Rd Ste 200

Brookfield, WI 530055906

Telephone 2629993495
Organization at the Same NPPES Address or Phone
Michael J. Logan Md, Sc Facility NPI 1093017196

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

NPI first issued

2022

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

Can order Medicare-covered services

CMS lists Michelle Bourdo as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Brookfield and Wisconsin

142 active clinicians are listed under Counselor - Professional with a practice address in Brookfield, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brookfield

5.6% of these 142 clinicians have the CMS telehealth indicator.

26.8% of these 142 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: 2026-06-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 12634-125
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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Emily Alexander , LCSW

Social Worker - Clinical

NPI 1568947158

Licensed Clinical Social Worker

Lisa Calabrese , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1801376140

Advanced Practice Nurse Prescriber

Susan Chapman , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1629036181

Advanced Registered Nurse Practitioner

Robin Coleman , APNP, BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1447448071

Advanced Practice Nurse Prescriber, BC

Kari Di Fonzo , LCSW

Social Worker - Clinical

NPI 1508965906

Licensed Clinical Social Worker

Bronwyn Dilley , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1407809072

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location June 24, 2026

Registered at 16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 530055906 (Tel: 2629993495)

πŸ“
Updated Business Mailing Address June 24, 2026

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630

πŸ‘€
Provider Name / Credentials Updated June 24, 2026

Recorded as MICHELLE BOURDO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2026

Counselor (license number reported to NPPES: WI 12634-125)

βœ…
NPI Profile Active November 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 09, 2022

Registered at 1941 S 42ND ST STE 542, OMAHA, NE 681052945 (Tel: 4024014445)

πŸ“
Business Mailing Address (Initial Record) November 09, 2022

Registered at 1941 S 42ND ST STE 542, OMAHA, NE 681052945

πŸ‘€
Provider Name / Credentials (Initial Record) November 09, 2022

Recorded as MICHELLE BOURDO, ATR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2022

Counselor

🟒
Initial NPI Registration & Enumeration November 09, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174231013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2022
Last Update: June 24, 2026
Sole Proprietor: Yes

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

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.