Active NPI
Amy Lu Bowers, LPC
- Professional Counselor
- Oriental, NC
National Provider Identifier
1295009405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8389
- Practice address
- 711 Broad St
Oriental, NC 28571-9779 - Phone
- (304) 642-1135
- NPI assigned
- Mar 6, 2012
- Last updated
- Dec 27, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8389 | NC | |
| Mental Health Counselor | 101YM0800X | 2380 | WV | |
| Professional Counselor | 101YP2500X | 2380 | WV | |
| Professional Counselor | 101YP2500X | 8389 | NC | Primary |
Addresses
Primary practice location
711 Broad St
Oriental, NC 28571-9779
Mailing address
711 Broad St
Oriental, NC 28571-9779
Phone (304) 642-1135
Other practice location 1
109 Wabash Ave
Philippi, WV 26416-0019
Phone (304) 457-1670
Other practice location 2
1120 Sandy Creek Rd
Thornton, WV 26440-7614
Phone (304) 460-8151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6115132 | Medicaid | NC |
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 |
|---|---|---|---|
| 8389 | NC | MD | Mental Health Counselor |
| 2380 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guided by Grace Counseling PLLC | Mental Health | Current | Accepting new patients |
| Olive Tree Family Counseling, PLLC | Mental Health | Past | Accepting new patients |
Locations
711 Broad St
Oriental, NC 28571
Phone (304) 642-1135
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Oriental, NC
- NPI 1386450179
-
- Marriage & Family Therapist
- New Bern, NC
- NPI 1922693977
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1295009405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 BROAD ST",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "285719779",
"telephone_number": "304-642-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 BROAD ST",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "285719779",
"telephone_number": "304-642-1135"
}
],
"practiceLocations": [
{
"address_1": "109 Wabash Ave",
"address_purpose": "LOCATION",
"city": "Philippi",
"state": "WV",
"postal_code": "264160019",
"country_code": "US",
"telephone_number": "304-457-1670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 Sandy Creek Rd",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "WV",
"postal_code": "264407614",
"country_code": "US",
"telephone_number": "304-460-8151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWERS",
"first_name": "AMY",
"middle_name": "LU",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8389",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "2380",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "2380",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6115132",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oriental, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.