Individual provider Active NPI

Melissa Anne Bowling, LMHC

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1023597440
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21954 Issued in FL
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

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204003713 FL Practitioner - Mental Health Counselor 4082062823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21954FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Impower, Inc Counselor CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.