{"npi":"1104055474","type":"NPI-1","status":"active","name":{"display":"Megan Bourguillon","other":[{"code":"1","type":"Formerly known as","value":"ZIMMER, MEGAN LYNN"}],"first":"MEGAN","last":"BOURGUILLON","middle":"LYNN"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"CT","license":"002136"}]},"addresses":[{"purpose":"LOCATION","street_1":"1046 FAIRFIELD AVE","city":"BRIDGEPORT","state":"CT","postal_code":"066051116","country_code":"US","phone":"2033306054","fax":"2033314716"},{"purpose":"MAILING","street_1":"1046 FAIRFIELD AVE","city":"BRIDGEPORT","state":"CT","postal_code":"066051116","country_code":"US","phone":"2033306054","fax":"2033314716"}],"license":{"state":"CT","number":"002136"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240409000125","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"CT","pac_id":"9133567357"}]},"enumeration_date":"2009-07-08","last_updated":"2024-03-15","_meta":{"source":"NPPES","snapshot_date":"2024-03-15","doc_url":"https://findmynpi.com/api"}}