Tracy Bowens, LMHC
Individual provider Active NPI Professional Counselor · New York, NY
NPI 1134494511 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1134494511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00541200 (NJ)
- Practice address
- 40 Exchange PL
3Rd Floor
New York, NY 10005-2701 - Phone
- (347) 443-8635
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005095 | NY | MD | Mental Health Counselor |
| 37PC00541200 | NJ | MD | Professional Counselor |
| 7969 | CA | MD | Occupational Therapist |
| 18679 | FL | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Shine Medical of Ca PC | Past | Accepting new patients |
Interoperability endpoints
- tracybowens@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005095 | NY | |
| Mental Health Counselor | 101YM0800X | 7969 | CA | |
| Mental Health Counselor | 101YM0800X | 18679 | FL | |
| Professional Counselor | 101YP2500X | 37PC00541200 | NJ | Yes |
Addresses
Primary practice location
40 Exchange PL
3Rd Floor
New York, NY 10005-2701
Mailing address
PO Box 797
Sicklerville, NJ 08081-0797
Phone (856) 318-2416
Other names
- Tracy Akintunde
Other providers in New York, NY
- Natalya Bowen
- Susan Marie Bowen
- Dana R Bowens
- Disha Bowens
- Essence Bowens
- Brendon Bower
- Gail Bower
- Katie Bower
- Susan Bowers-Johnson
- April Mildred Bowers
All providers in New York, NY · Professional Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.