Organization Active NPI

Ann Marie Nowak LPC PC

  • Mental Health Counselor
  • Atmore, AL
National Provider Identifier
1104420264
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANN MARIE NOWAK LPC PC
Practice address
308 Roberts St
Atmore, AL 36502-2516
Phone
(850) 602-7890
NPI assigned
Nov 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Ann Marie Nowak, LPCNPI 1720607989
Title
Owner
Phone
(850) 602-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

308 Roberts St
Atmore, AL 36502-2516

Mailing address

308 Roberts St
Atmore, AL 36502-2516

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL anowaklpc@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304001276 AL Part B Supplier - Clinic/Group Practice 5991287468 Receives reassigned benefits from 1 practitioner
Practice locations: Atmore, AL

National Provider Directory

National Provider Directory

Locations

100 N Main St
Ste H
Atmore, AL 36502
Phone (205) 575-3611

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": "1606608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1104420264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ROBERTS ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 ROBERTS ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022516",
            "telephone_number": "850-602-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MARIE NOWAK LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-602-7890",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anowaklpc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "required",
            "address_1": "308 Roberts St",
            "city": "Atmore",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365022516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.