Active NPI
Heather Bokowy
- Professional Counselor
- Greenville, SC
National Provider Identifier
1083772875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3654
- Practice address
- 121 Interstate Blvd Suite 2 a
Brewer Center for Psychiatry and Family Development
Greenville, SC 29615-5715 - Phone
- (864) 561-7099
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3654 | SC | Primary |
Addresses
Primary practice location
121 Interstate Blvd Suite 2 a
Brewer Center for Psychiatry and Family Development
Greenville, SC 29615-5715
Mailing address
105 Creekside Rd
Greer, SC 29650-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3654 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083772875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CREEKSIDE RD",
"city": "GREER",
"state": "SC",
"postal_code": "296503011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 INTERSTATE BLVD SUITE 2 A",
"address_2": "BREWER CENTER FOR PSYCHIATRY AND FAMILY DEVELOPMENT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155715",
"telephone_number": "864-561-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKOWY",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "3654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.