Bowen Health Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

BOWEN HEALTH INC

Practice address

201 E Rudisill Blvd
Fort Wayne, IN 46806-1738

Phone

(800) 342-5653

NPI assigned

Sep 19, 2019

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Knecht

Title

Avp Finance

Phone

(574) 269-0532

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN18 enrollments

Enrollment records 18

NPI to CCN mapping 17

The Medicare certification numbers (CCNs) connected to NPI 1023668183. Details of each certification follow.

• CCN 154014 Hospital · Active · Details
• CCN 151099 Federally qualified health center · Active · Details
• CCN 151152 Federally qualified health center · Active · Details
• CCN 151147 Federally qualified health center · Active · Details
• CCN 151169 Federally qualified health center · Active · Details
• CCN 151189 Federally qualified health center · Active · Details
• CCN 151199 Federally qualified health center · Active · Details
• CCN 151800 Federally qualified health center · Active · Details
• CCN C51000 Federally qualified health center · Active · Details
• CCN C51004 Federally qualified health center · Active · Details
• CCN C51005 Federally qualified health center · Active · Details
• CCN C51007 Federally qualified health center · Active · Details
• CCN C51015 Federally qualified health center · Active · Details
• CCN C51098 Federally qualified health center · Active · Details
• CCN C51097 Federally qualified health center · Active · Details
• CCN C51101 Federally qualified health center · Active · Details
• CCN C51102 Federally qualified health center · Active · Details

Hospital certification: CCN 154014

Legal name

BOWEN HEALTH INC

Doing business as

OTIS R BOWEN CENTER FOR HUMAN SERVICES INC

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Mar 16, 1979

Last certification

Dec 5, 2024

Beds

20

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

May 16, 1960 in IN

Enrollment address

9 Pequignot Dr
Pierceton, IN 46562-9081
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric

Federally qualified health center certification: CCN 151099

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN HEALTH CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 6, 2021

Last certification

May 6, 2021

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

901 Anchorage Point Dr
Warsaw, IN 46580-2282

Federally qualified health center certification: CCN 151152

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - FORT WAYNE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 6, 2022

Last certification

Oct 6, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

201 E Rudisill Blvd
Fort Wayne, IN 46806-1738

Federally qualified health center certification: CCN 151147

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - HUNTINGTON

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2022

Last certification

Aug 30, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2860 Northpark Ave
Huntington, IN 46750-9700

Federally qualified health center certification: CCN 151169

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - WABASH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 8, 2023

Last certification

Feb 8, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

255 N Miami St
Wabash, IN 46992-2705

Federally qualified health center certification: CCN 151189

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - GOSHEN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 18, 2023

Last certification

Jan 18, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Federally qualified health center certification: CCN 151199

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - AUBURN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 8, 2023

Last certification

Aug 8, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

923 Cardinal CT
Auburn, IN 46706-2678

Federally qualified health center certification: CCN 151800

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - SYRACUSE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 8, 2023

Last certification

Aug 8, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

901 S Huntington St
Syracuse, IN 46567-1923

Federally qualified health center certification: CCN C51000

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER-ANGOLA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 30, 2023

Last certification

Aug 30, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

200 Hoosier Dr
Angola, IN 46703-9345

Federally qualified health center certification: CCN C51004

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - COLUMBIA CITY

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 9, 2023

Last certification

Oct 9, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

May 16, 1960 in IN

Enrollment address

1259 E State Road 205
Columbia City, IN 46725-9492

Federally qualified health center certification: CCN C51005

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - ALBION

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 9, 2023

Last certification

Oct 9, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

101 E Park Dr
Albion, IN 46701-1438

Federally qualified health center certification: CCN C51007

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN CENTER - LAGRANGE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 27, 2023

Last certification

Oct 27, 2023

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

836 N Detroit St
Lagrange, IN 46761-1112

Federally qualified health center certification: CCN C51015

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN HEALTH - PLYMOUTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 26, 2024

Last certification

Jan 26, 2024

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2904 Miller Dr
Plymouth, IN 46563-8083

Federally qualified health center certification: CCN C51098

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN HEALTH - WASHINGTON CENTER ROAD

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 28, 2025

Last certification

May 28, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

1313 W Washington Center Rd
Fort Wayne, IN 46825-4142

Federally qualified health center certification: CCN C51097

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN HEALTH - BREMEN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

May 28, 2025

Last certification

May 28, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

1120 W South St
Bremen, IN 46506-1849

Federally qualified health center certification: CCN C51101

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN HEALTH - KOKOMO

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 21, 2025

Last certification

Jul 21, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

2312 S Dixon Rd
Ste 250
Kokomo, IN 46902-6426

Federally qualified health center certification: CCN C51102

Legal name

BOWEN HEALTH INC

Doing business as

BOWEN HEALTH-SOUTH BEND

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 21, 2025

Last certification

Jul 21, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

405 E Dubail Ave
South Bend, IN 46613-2434

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bowen Health Inc

  dba Bowen Recovery Center

  • Methadone Clinic
  • Fort Wayne, IN
  • NPI 1386159176

  7618950965

  Same PAC ID
• Bowen Health Inc

  dba Otis R Bowen Center

  • Adult Mental Health Clinic/Center
  • Warsaw, IN
  • NPI 1639172810

  7618950965

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bowen Health Inc

  dba Otis R Bowen Center

  • Adult Mental Health Clinic/Center
  • Warsaw, IN
  • NPI 1639172810

  O20050404000853, O20110623000125

  Same enrollment

Listed as

Otis R Bowen Center for Human Services IncCCN 154014 · All quality measures

Type

Psychiatric

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Debra A Brice, NP

  • Nurse Practitioner
  • Columbia City, IN
  • NPI 1174926919

  Corporate Director

  CMS ownership
• Timothy G Gillum, MD

  • Specialist
  • Marion, IN
  • NPI 1316994791

  Corporate Director

  CMS ownership

Practitioners 270

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hani Ahmad, MD

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1790711604
  NPD
• Ayomikun Ajani

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1356954887
  NPD
• Caitlin Amos

  • Professional Counselor
  • Crown Point, IN
  • NPI 1487360897
  NPD
• Misty D. Arellano, MSED

  • Mental Health Counselor
  • Lagrange, IN
  • NPI 1518479922
  NPD
• Abigail Atakey, MA

  • Counselor
  • Fort Wayne, IN
  • NPI 1073223186
  NPD
• Lynn Ann Baker, LMHC

  • Mental Health Counselor
  • Huntington, IN
  • NPI 1730262411
  NPD
• Elisabeth A Barahona, LSW

  • Clinical Social Worker
  • Goshen, IN
  • NPI 1699119586
  NPD
• Scott Kelley Barger, MSW

  • Mental Health Counselor
  • Plymouth, IN
  • NPI 1073286647
  NPD
• Lynne Beardsley, LMHC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1962049809
  NPD
• Megan Beeching, LMHCA

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1760096911
  NPD
• Beverly Ann Benner, LCSW

  • Clinical Social Worker
  • Syracuse, IN
  • NPI 1245378579
  NPD
• Lisa A Bergeron, M.D.

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1801890355
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1023668183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E RUDISILL BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061738",
            "telephone_number": "800-342-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWEN HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "KNECHT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "AVP FINANCE",
        "authorized_official_telephone_number": "574-269-0532"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Bourlier, OD
• Kaitlyn Bouthot, RBT
• Samuel Bow
• Wesley Wong Bow, M.D.
• Dedrick K. Bowe, MD
• Bowen Health Inc (Bowen Recovery Center)
• Laurn Bower
• Solan Bower
• Teresa M Bower, RN
• Brittany Nicole Bowers, RBT

• Federally Qualified Health Center (FQHC) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.