Active NPI
Melissa Anne Bowling, LMHC
- Mental Health Counselor
- Longwood, FL
National Provider Identifier
1023597440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21954
- Practice address
- 111 W Magnolia Ave
Longwood, FL 32750-4130 - Phone
- (407) 215-0095
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MH21954 | FL | Primary |
Addresses
Primary practice location
111 W Magnolia Ave
Longwood, FL 32750-4130
Mailing address
11250 N Blackfoot PT
Citrus Springs, FL 34434-2609
Other practice location 1
2700 Westhall Ln Ste 207
Maitland, FL 32751-7478
Phone (407) 636-3532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21954 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impower, Inc | Counselor | Current | Accepting new patients |
Locations
2290 N Ronald Reagan Blvd
Ste 116
Longwood, FL 32750
Phone (407) 215-0095
111 W Magnolia Ave
Longwood, FL 32750
Phone (407) 215-0095
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1023597440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11250 N BLACKFOOT PT",
"city": "CITRUS SPRINGS",
"state": "FL",
"postal_code": "344342609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W MAGNOLIA AVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504130",
"telephone_number": "407-215-0095"
}
],
"practiceLocations": [
{
"address_1": "2700 Westhall Ln Ste 207",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327517478",
"country_code": "US",
"telephone_number": "407-636-3532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWLING",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.