Active NPI
Mary Lu Owens, LMSW
- Mental Health Counselor
- Caldwell, ID
National Provider Identifier
1255764114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-24912
- Practice address
- 1605 S Kimball Ave
Caldwell, ID 83605-4548 - Phone
- (208) 454-2766
- Fax
- (208) 454-2771
- NPI assigned
- Aug 14, 2013
- Last updated
- Aug 14, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-24912 | ID | Primary |
Addresses
Primary practice location
1605 S Kimball Ave
Caldwell, ID 83605-4548
Mailing address
PO Box 4824
Boise, ID 83711-4824
Phone (208) 697-6922
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 |
|---|---|---|---|
| LMSW-24912 | ID | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1255764114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4824",
"city": "BOISE",
"state": "ID",
"postal_code": "837114824",
"telephone_number": "208-697-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 S KIMBALL AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054548",
"telephone_number": "208-454-2766",
"fax_number": "208-454-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "MARY",
"middle_name": "LU",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LMSW-24912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
- Ann Elizabeth Ortega, LPN
- Orthopedic & Fracture Clinic PA (West Idaho Orthopedics & Sports Medicine)
- Maria Del Rocio Ortiz
- Christopher Edward Otoole, LMSW
- Todd M Otstot, PA-C
- P. Roman Burk DPM PC (Mountain Pharmacy)
- P. Roman Burk DPM, PC (Foot & Ankle Medical Center)
- Pacific Mental Health Idaho LLC
- Jennifer Padilla, LPC
- Travis Lee Page, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.