Active NPI
Shawn Michael Lowry, M.S. NCC
- Counselor
- Collegeville, PA
National Provider Identifier
1043966716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3900 Beth Dr
Collegeville, PA 19426-3006 - Phone
- (610) 304-4128
- NPI assigned
- Feb 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3900 Beth Dr
Collegeville, PA 19426-3006
Mailing address
3900 Beth Dr
Collegeville, PA 19426-3006
Phone (610) 304-4128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15518786 | Other | PA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240323000529 | PA | Practitioner - Mental Health Counselor | 5991142192 | Practice locations: Media, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12 Veterans SQ
Media, PA 19063-3129
Phone (610) 304-4128
3900 Beth Dr
Collegeville, PA 19426-3006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1043966716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 BETH DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263006",
"telephone_number": "610-304-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BETH DR",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263006",
"telephone_number": "610-304-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "SHAWN",
"middle_name": "MICHAEL",
"credential": "M.S. NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15518786",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.
- 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.