Michele Bowersox, LPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006880 Issued in NY

Practice address

111 Mason St
Newark, NY 14513-1459

Phone

(315) 331-8493

Fax

(315) 331-6013

NPI assigned

May 9, 2016

Last updated

May 9, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Counseling Service of the Finger Lakes, Inc

  • Community/Behavioral Health Agency
  • Geneva, NY
  • NPI 1417035387
  NPD (past)
• Family Counseling Service of the Finger Lakes, Inc.

  • Mental Health Counselor
  • Canandaigua, NY
  • NPI 1750795829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1275989295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 EXCHANGE ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144563414",
            "telephone_number": "315-789-2613",
            "fax_number": "315-789-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MASON ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131459",
            "telephone_number": "315-331-8493",
            "fax_number": "315-331-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERSOX",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryl E Bjorseth, M.D.
• Molly Elizabeth Blume, FNP-BC
• Catherine Bogan, RN
• Courtney Laura Bogart, DPM
• Kathryn Ann Bogart, OTR/L
• Ronald James Boyd, DDS
• Timothy Francis Brady, D.D.S.
• Wade Jason Brandt, CNP
• Lynn Brazee, FNP
• Allison Laura Breen

• Mental Health Counselor in Newark, NY
• Providers in Newark, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.