Individual provider Active NPI

Michelle Lowder, LPC

  • Professional Counselor
  • Bullard, TX
National Provider Identifier
1073076055
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62504 Issued in TX
Practice address
768 County Road 3807
Bullard, TX 75757
Phone
(903) 530-9099
NPI assigned
Apr 8, 2019
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 21030 CA
Professional Counselor 101YP2500X 21030 CA
Professional Counselor 101YP2500X 62504 TX Primary

Addresses

Primary practice location

768 County Road 3807
Bullard, TX 75757

Mailing address

768 County Road 3807
Bullard, TX 75757
Phone (903) 530-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251106005228 TX Practitioner - Mental Health Counselor 6709376734 Reassigns benefits to 1 organization
I20251111000397 CA Practitioner - Mental Health Counselor 6709376734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21030CAMDMental Health Counselor
62504TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Oct 3, 2025 Accepting new patients
Michelle Lowder Counseling PLLC Mental Health CurrentSince Sep 28, 2025 Accepting new patients
Glenn Medical Center, LLC Past Accepting new patients
Mood Clinical, P. C. PastSince Jun 15, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1073076055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 COUNTY ROAD 3807",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "75757",
            "telephone_number": "903-530-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 COUNTY ROAD 3807",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "75757",
            "telephone_number": "903-530-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWDER",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "21030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21030",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullard, TX

Sources for this page

Verify at the official NPI Registry.