Active NPI
Charles Hay Bowman, L.C.S.W.
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1104932953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14274
- Practice address
- 4614 North Ih-35
Austin, TX 78751-3401 - Phone
- (512) 972-4991
- Fax
- (512) 972-4940
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14274 | TX | Primary |
Addresses
Primary practice location
4614 North Ih-35
Austin, TX 78751-3401
Mailing address
4614 North Ih-35
Austin, TX 78751-3401
Phone (512) 972-4991
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14274 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1104932953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4614 NORTH IH-35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787513401",
"telephone_number": "512-972-4991",
"fax_number": "512-972-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 NORTH IH-35",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787513401",
"telephone_number": "512-972-4991",
"fax_number": "512-972-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "CHARLES",
"middle_name": "HAY",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.