Active NPI
Kenneth Preston Mowery, MA, LPC
- Professional Counselor
- Loveland, CO
National Provider Identifier
1265907307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0014936
- Practice address
- 1269 Cleveland Ave
Loveland, CO 80537-4724 - Phone
- (970) 301-1682
- NPI assigned
- Oct 4, 2018
- 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 | 0014936 | CO | Primary |
Addresses
Primary practice location
1269 Cleveland Ave
Loveland, CO 80537-4724
Mailing address
1269 Cleveland Ave
Loveland, CO 80537-4724
Phone (970) 301-1682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 17, 2024 through May 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014936 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1265907307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1269 CLEVELAND AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374724",
"telephone_number": "970-301-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 CLEVELAND AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805374724",
"telephone_number": "970-301-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWERY",
"first_name": "KENNETH",
"middle_name": "PRESTON",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-04",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0014936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.