Active NPI
Janice I McGowan, LPC
- Professional Counselor
- Neosho, MO
National Provider Identifier
1255368403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2001022264
- Practice address
- 407 Maple St
Neosho, MO 64850-2318 - Phone
- (417) 455-1960
- Fax
- (417) 455-1960
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 2001022264 | MO | Primary |
Addresses
Primary practice location
407 Maple St
Neosho, MO 64850-2318
Mailing address
PO Box 545
Neosho, MO 64850-0545
Phone (417) 455-1960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194513 | Other | MO | BCBS PROVIDER # |
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 |
|---|---|---|---|
| 2001022264 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255368403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 545",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648500545",
"telephone_number": "417-455-1960",
"fax_number": "417-455-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 MAPLE ST",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648502318",
"telephone_number": "417-455-1960",
"fax_number": "417-455-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "JANICE",
"middle_name": "I",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2001022264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "194513",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.