Active NPI
Kate A Bowman
- Professional Counselor
- Elkton, VA
National Provider Identifier
1124774088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011230
- Practice address
- 304 W Spotswood Trail
Suite D
Elkton, VA 22827 - Phone
- (540) 426-3392
- NPI assigned
- Mar 1, 2022
- 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 | 0701011230 | VA | Primary |
Addresses
Primary practice location
304 W Spotswood Trail
Suite D
Elkton, VA 22827
Mailing address
102 Kittiwake CT
Elkton, VA 22827-9400
Phone (540) 578-3691
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 |
|---|---|---|---|
| 0701011230 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildly Rooted Counseling LLC | Professional | Current | Accepting new patients |
Locations
304 W Spotswood Trl
Ste D
Elkton, VA 22827
Phone (540) 426-3392
Organizations & group practices 1
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": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1124774088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 KITTIWAKE CT",
"city": "ELKTON",
"state": "VA",
"postal_code": "228279400",
"telephone_number": "540-578-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W SPOTSWOOD TRAIL",
"address_2": "SUITE D",
"city": "ELKTON",
"state": "VA",
"postal_code": "22827",
"telephone_number": "540-426-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "KATE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.