Individual provider Active NPI

Jody Mowrey, PSYD LMHC RN

  • Mental Health Counselor
  • Navarre, FL
National Provider Identifier
1144829367
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18350 Issued in FL
Practice address
9466 Navarre Pkwy Ste C
Navarre, FL 32566-2948
Phone
(850) 308-7292
NPI assigned
Oct 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH18350 FL Primary

Addresses

Primary practice location

9466 Navarre Pkwy Ste C
Navarre, FL 32566-2948

Mailing address

4206 Spanish Trail PL
Pensacola, FL 32504-8561
Phone (185) 086-0694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MH18350FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1144829367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 SPANISH TRAIL PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048561",
            "telephone_number": "185-086-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9466 NAVARRE PKWY STE C",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662948",
            "telephone_number": "850-308-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWREY",
        "first_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "PSYD LMHC RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.