Carly Melissa Rowan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

411 W Hawkins Pkwy Apt 4301
Longview, TX 75605-1728

Phone

(909) 635-8404

NPI assigned

May 23, 2023

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

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1083306476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W HAWKINS PKWY APT 4301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051728",
            "telephone_number": "909-635-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W HAWKINS PKWY APT 4301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051728",
            "telephone_number": "909-635-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "CARLY",
        "middle_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Ross, LCSW
• John Bennett Ross V, D.D.S.
• Shanon Rae Ross, LMSW
• William Hilliard Rotzler, M.D.
• Melanie Roudkovski, PH.D., LPC-S
• Roger Lee Rowe, DC
• Marquita Rowland, LCSW
• Samantha Jayne Roworth-Chaikin, DO
• Roy a Francis Dba Texas O2 Testing
• Tameka Royal, FNP-C

• Mental Health Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.