Jessica R Bowen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7416233001 Issued in LA

Practice address

518 Markham Dr
Slidell, LA 70458-5236

Phone

(985) 778-6350

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1154911840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63069 HUMMINGBIRD LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487306",
            "telephone_number": "985-778-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 MARKHAM DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585236",
            "telephone_number": "985-778-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JESSICA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7416233001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7416233001",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mandeville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "63069 Hummingbird Ln",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704487306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heidi Boudoin, RN
• Daniel Joseph Bourgeois III, MD
• Demetria J. Bouton, RSW
• Lauri A Boutte, M.P.T.
• Teresa Bovia, RN
• Jarrel Bowens, RN
• Sheronda Bowers
• Anna Grace Bowlin
• Brian Daniel Boyd, P.T.
• Emily Boyd

• Mental Health Counselor in Slidell, LA
• Providers in Slidell, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.