IndividualActive
Mark Bourassa
NPI 1053295204 · Mental Health Counselor · Stockton, CA
Mark Bourassa is a Mental Health Counselor provider in Stockton, CA (NPI 1053295204).
Provider details
- NPI number
- 1053295204
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 15046 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1305 Tommydon St
Stockton, CA 95210-3364
Phone: (855) 268-4096
Street-level locationGet directions
Mailing address
1620 G St Apt 17
Sacramento, CA 95814-1632
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Mark Bourassa's NPI number?
- Mark Bourassa's National Provider Identifier (NPI) is 1053295204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Bourassa's specialty?
- Mark Bourassa is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Mark Bourassa located?
- Mark Bourassa's practice location on file with NPPES is 1305 Tommydon St, Stockton, CA 95210-3364.
- What is Mark Bourassa's phone number?
- The practice phone number listed in the NPPES registry for Mark Bourassa is (855) 268-4096.
- Is Mark Bourassa's NPI active?
- Yes — Mark Bourassa's NPI (1053295204) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.