Active NPI
Mark None Bowman, L.P.C.
- Professional Counselor
- Bartlett, TN
National Provider Identifier
1235705138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001770
- Practice address
- 6087 Ainsworth St
Bartlett, TN 38134-3566 - Phone
- (901) 494-6354
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 001770 | GA | Primary |
Addresses
Primary practice location
6087 Ainsworth St
Bartlett, TN 38134-3566
Mailing address
6087 Ainsworth St
Bartlett, TN 38134-3566
Phone (901) 494-6354
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 |
|---|---|---|---|
| 001770 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots Wellness Center, LLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Kennesaw, GA
- NPI 1689167520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1235705138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6087 AINSWORTH ST",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381343566",
"telephone_number": "901-494-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6087 AINSWORTH ST",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381343566",
"telephone_number": "901-494-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "MARK",
"middle_name": "NONE",
"name_prefix": "Dr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "001770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.