Individual provider Active NPI

Austin Bowen, LMFT, PPSC, BSP

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1104494657
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
127589 Issued in CA
Practice address
607 Elmira Rd. PMB # 360
Vacaville, CA 95687-5021
Phone
(925) 323-1750
NPI assigned
Jun 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 127589 CA Primary

Addresses

Primary practice location

607 Elmira Rd. PMB # 360
Vacaville, CA 95687-5021

Mailing address

607 Elmira Rd. PMB # 360
Vacaville, CA 95687-5021
Phone (530) 341-3303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915003897 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608251392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127589CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Valley Marriage & Family Counseling Group, Inc. Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC CurrentSince Aug 2, 2022 Accepting new patients

Locations

607 Elmira Rd
Vacaville, CA 95687
Phone (707) 229-1377

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1104494657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 ELMIRA RD. PMB # 360",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875021",
            "telephone_number": "530-341-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 ELMIRA RD. PMB # 360",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875021",
            "telephone_number": "925-323-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "AUSTIN",
        "credential": "LMFT, PPSC, BSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.