Active NPI
Nyla P Bowens, LPC
- Professional Counselor
- Jonesboro, GA
National Provider Identifier
1083800262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC000247
- Practice address
- 8712 Tara Blvd
Jonesboro, GA 30236-4905 - Phone
- (770) 478-3417
- Fax
- (770) 478-3419
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LPC000247 | GA | Primary |
Addresses
Primary practice location
8712 Tara Blvd
Jonesboro, GA 30236-4905
Mailing address
8712 Tara Blvd
Jonesboro, GA 30236-4905
Phone (770) 478-3417
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 |
|---|---|---|---|
| LPC000247 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1083800262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8712 TARA BLVD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302364905",
"telephone_number": "770-478-3417",
"fax_number": "770-478-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 TARA BLVD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302364905",
"telephone_number": "770-478-3417",
"fax_number": "770-478-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWENS",
"first_name": "NYLA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC000247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.