Individual provider Active NPI

Shawn Michael Lowry, M.S. NCC

  • Counselor
  • Collegeville, PA
National Provider Identifier
1043966716
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15518786OtherPACAQH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.