Russell William Bowman, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LAC-23376 Issued in AZ

Practice address

11225 N 28TH Dr Ste D220C
Phoenix, AZ 85029-5697

Phone

(480) 680-1240

Fax

(480) 680-1245

NPI assigned

Aug 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1154200863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 W 16TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816211",
            "telephone_number": "614-364-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D220C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295697",
            "telephone_number": "480-680-1240",
            "fax_number": "480-680-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "RUSSELL",
        "middle_name": "WILLIAM",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-23376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Bowman, MD
• Heidi Rausch Bowman, DO
• Kristine Renee Bowman, COTA/L
• Lisa Bowman
• Philip J Bowman
• David B Bowne, M.D.
• Catherine Amanda Bowser
• Bowsers Garden LLC (Health Care Partners)
• Ashlyn Renee Bowyer
• Ewa Boxer, MS, LPC, LISAC

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.