Organization Active NPI

Dwell Ministry PC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1073291795
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DWELL MINISTRY PC
Practice address
2709 Pinedale Rd Ste B
Greensboro, NC 27408-2018
Phone
(434) 327-7624
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Lauren Bowman, MA, LCMHC
Title
President, Clinical Therapist
Phone
(317) 746-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2709 Pinedale Rd Ste B
Greensboro, NC 27408-2018

Mailing address

2709 Pinedale Rd Ste B
Greensboro, NC 27408-2018
Phone (434) 327-7624

National Provider Directory

National Provider Directory

Locations

1101 W Market St
Greensboro, NC 27403
Phone (336) 270-9501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1073291795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 PINEDALE RD STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082018",
            "telephone_number": "434-327-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PINEDALE RD STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082018",
            "telephone_number": "434-327-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWELL MINISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL THERAPIST",
        "authorized_official_telephone_number": "317-746-8900",
        "authorized_official_credential": "MA, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.