Active NPI
Ann Marie Nowak LPC PC
- Mental Health Counselor
- Atmore, AL
National Provider Identifier
1104420264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Marie Nowak, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | anowaklpc@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260304001276 | AL | Part B Supplier - Clinic/Group Practice | 5991287468 |
Receives reassigned benefits from 1 practitioner Practice locations: Atmore, AL |
National Provider Directory
National Provider DirectoryLocations
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.