Melissa Bowen, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4980 Issued in LA

Practice address

850 Kaliste Saloom Rd Ste 121
Lafayette, LA 70508

Phone

(337) 400-9725

NPI assigned

Mar 21, 2011

Last updated

Mar 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Authenticity Center

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1366257800
  NPD Authorized official

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1033418777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 121",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-400-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 121",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-400-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 Alfred St",
            "address_purpose": "LOCATION",
            "city": "Scott",
            "state": "LA",
            "postal_code": "70583",
            "country_code": "US",
            "telephone_number": "337-400-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 Alfred St",
            "address_purpose": "LOCATION",
            "city": "Scott",
            "state": "LA",
            "postal_code": "70583",
            "country_code": "US",
            "telephone_number": "337-400-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MELISSA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Boutte, SLP
• Marcus Boutte, PMHNP
• Raven Boutte
• Caroline Doerle Bouy, FNP
• Catherine Nicole Bowen, DPT
• Shelby Jean Bowen, M.S., CCC-SLP
• Dasia C Bowens
• Charles Houma Dixon Bowers III, MD
• Rebecca Bowers
• Seth Jordan Bowers, PMHNP-C

• Professional Counselor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.