Individual provider Active NPI

Christopher Bowen, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Sparta, NJ
National Provider Identifier
1295450393
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00300900 Issued in NJ
Practice address
5 Carpenter PL
Sparta, NJ 07871-1142
Phone
(973) 610-0148
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00300900 NJ Primary

Addresses

Primary practice location

5 Carpenter PL
Sparta, NJ 07871-1142

Mailing address

5 Carpenter PL
Sparta, NJ 07871-1142

Other identifiers 1

IdentifierTypeStateIssuer
37LC00300900MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Tancbowen@gmail.com
Other URL Tancbowen@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131003391 NJ Practitioner - Mental Health Counselor 5698204824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Plus NJ IncGroup PAC ID 9436160553, 52 clinicians

Practice addresses (Care Compare)

610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 265-8200

Careplus NJ Inc
610 Valley Health Plaza
Paramus, NJ 07652-3607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus NJ, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Care Plus NJ, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1295450393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CARPENTER PL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CARPENTER PL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711142",
            "telephone_number": "973-610-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00300900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37LC00300900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tancbowen@gmail.com",
            "affiliation": "N",
            "address_1": "5 Carpenter Pl",
            "city": "Sparta",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078711142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tancbowen@gmail.com",
            "affiliation": "N",
            "address_1": "5 Carpenter Pl",
            "city": "Sparta",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078711142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.